Primary and Revision THA Using a Stemless Metaphyseal-Loading Implant above Distorted Proximal Femoral Anatomy

Autor: Ian D. Learmonth, Tahawwar Hasnat A. Minhas, N. L. Vasukutty, R. G. Middleton, Chika E. Uzoigwe, Peter S. Young
Rok vydání: 2012
Předmět:
Zdroj: HIP International. 23:40-45
ISSN: 1724-6067
1120-7000
DOI: 10.5301/hip.2012.10425
Popis: Total hip arthroplasty is well established as a successful treatment for end stage arthritis, with a wide variety of components currently available. Using traditional stemmed implants in patients with a distorted proximal femur can be technically challenging with an increased risk of complications. We present seven patients with distorted proximal femoral anatomy or failed hip arthroplasty in whom a short, metaphyseal loading implant was utilised. At minimum two-year follow-up there have been no complications with all stems stable and well fixed radiologically. Average improvement in Oxford Hip Score is 32. We suggest that a short, metaphyseal loading prosthesis can be considered in cases where a conventional stemmed implant may not be suitable due to challenging proximal femoral anatomy.
Databáze: OpenAIRE