Femoral Fixation in the Face of Considerable Bone Loss
- 1 December 2004
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Clinical Orthopaedics and Related Research
- Vol. 429 (429), 227-231
- https://doi.org/10.1097/01.blo.0000150120.80409.0d
Abstract
Considerable femoral bone loss can be encountered in the multiply revised total hip arthroplasty patient. Deficient proximal bone requires either a bulk allograft or a femoral component that allows stable distal fixation. Extensively coated stems have shown excellent results for many revisions but have shown higher rates of failure among patients with femoral remodeling in retroversion, an enlarged endosteal diameter, or an ectatic canal. A modular tapered stem is an alternative in this subset of patients. A modular tapered implant provides axial and rotational stability through the use of distal splines, and the proximal body segments can allow independent adjustment of leg length, offset, and anteversion.Keywords
This publication has 9 references indexed in Scilit:
- A modular distal fixation option for proximal bone loss in revision total hip arthroplasty: A 2- to 6-year follow-up studyThe Journal of Arthroplasty, 2003
- Minimal 11-year follow-up of extensively porous-coated stems in femoral revision total hip arthroplastyThe Journal of Arthroplasty, 2002
- Femoral revision: Distal fixation with fluted, tapered grit-blasted stemsThe Journal of Arthroplasty, 2002
- Femoral Revision with the Wagner SL Revision StemThe Journal of Bone and Joint Surgery-American Volume, 2001
- Wagner SL prosthesis in revision hip arthroplasty to bridge femoral bone defects. Technic and resultsDer Orthopäde, 2001
- The Wagner revision prosthesis consistently restores femoral bone structureInternational Orthopaedics, 2000
- 5- to 13-year follow-up study on cementless femoral components in revision surgeryThe Journal of Arthroplasty, 1997
- Relationship of Total Hip Arthroplasty Outcomes to Other Orthopaedic ProceduresPublished by Ovid Technologies (Wolters Kluwer Health) ,1997
- The Wagner revision stem for severe osteolysis: 31 hips followed for 1.5-5 yearsActa Orthopaedica, 1996