{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:22Z","timestamp":1787755582049,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Salvage of 2 cases of distal femoral replacement loosening with massive osteolysis using impaction grafting are presented with 9- and 11-year follow-ups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgeons should keep impaction grafting in their armamentarium for cases of failed DFR with severe osteolysis. Doing so may allow for preservation of the native hip and deferment of more radical procedures (i.e. total femur replacement) that have high rates of complication and poor survivorship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00183","type":"journal-article","created":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T14:00:10Z","timestamp":1599141610000},"page":"e20.00183-e20.00183","source":"Crossref","is-referenced-by-count":1,"title":["Salvage of Distal Femoral Replacement Loosening with Massive Osteolysis Using Impaction Grafting"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3535-5584","authenticated-orcid":false,"given":"Christopher N.","family":"Carender","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3151-877X","authenticated-orcid":false,"given":"Nicholas A.","family":"Bedard","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1649-1567","authenticated-orcid":false,"given":"Thomas A.","family":"Malvitz","sequence":"additional","affiliation":[{"name":"Orthopedic Associates of Michigan, Grand Rapids, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6980-6246","authenticated-orcid":false,"given":"John J.","family":"Callaghan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, 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