Removing Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System
| Autor: | Johannes F. Plate, Kevin M. Sagers, John S. Shields, David C. Pollock, Maxwell K. Langfitt, Jonathan D. Creech |
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| Rok vydání: | 2021 |
| Předmět: |
Orthopedic surgery
musculoskeletal diseases medicine.medical_specialty Explantation Osteolysis Proximal femur business.industry Total hip replacement Resection arthroplasty Femoral stem removal Femoral stem medicine.disease Revision hip arthroplasty Surgery Fixation (surgical) Cementless Trochanteric osteotomy Medicine Orthopedics and Sports Medicine Implant Surgical Technique business RD701-811 Total hip arthroplasty |
| Zdroj: | Arthroplasty Today Arthroplasty Today, Vol 11, Iss, Pp 146-150 (2021) |
| ISSN: | 2352-3441 |
| Popis: | Improvements in materials, components, and surgical techniques in cementless total hip arthroplasty are resulting in improved femoral stem fixation through bony ongrowth or ingrowth. While improved femoral stem fixation is one reason for the current excellent total hip survivorship, indications for stem removal such as infection, implant fracture, or osteolysis remain. A commonly used technique for fully ingrown femoral stems is an extended trochanteric osteotomy which can result in comminuted fractures of the proximal femur during stem removal requiring additional fixation. Therefore, a novel hip stem removal was developed to facilitate removal of these well-ingrown stems without the need for an extended trochanteric osteotomy. This study describes the removal system and surgical technique and presents a case series of successfully removed ingrown stems. |
| Databáze: | OpenAIRE |
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