Cemented Femoral Stem Fixation: Back to the Future.

Autor: Springer BD; OrthoCarolina Hip and Knee Center and Atrium Musculoskeletal Institute, Charlotte, North Carolina., Hubble MJW; Consultant Orthopaedic Surgeon, Princess Elizabeth Orthopaedic Centre, Exeter., Howell JR; Consultant Orthopaedic Surgeon, Princess Elizabeth Orthopaedic Centre, Exeter., Moskal JT; Professor and Chair, Department of Orthopaedic Surgery, Virginia Tech Carilion School of Medicine, Roanoke, Virginia.
Jazyk: angličtina
Zdroj: The Journal of arthroplasty [J Arthroplasty] 2023 Jul; Vol. 38 (7 Suppl 2), pp. S38-S44. Date of Electronic Publication: 2023 Apr 21.
DOI: 10.1016/j.arth.2023.04.023
Abstrakt: Background: Periprosthetic fractures following elective and nonelective hip arthroplasty remain one of the most common modes of early failure.
Methods: This symposium will explore the current role of cemented fixation and periprosthetic fracture, focusing on history and rationale for cemented stem fixation, registry data, and other potential advantages of cemented stem fixation. A meticulous and methodical surgical technique of cemented stem fixation is paramount to the success and will be thoroughly discussed.
Results: The role of stem fixation, and its effect on periprosthetic fracture is well-documented in the literature. Yet despite this, the utilization of cemented stem fixation remains low in the United States. This paradox is multifactorial.
Conclusion: In addition to a notable reduction in the risk of periprosthetic femur fractures, cemented stem fixation has numerous other advantages and is reproducible with a methodical surgical technique.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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