Conversion of a Long Distally Fixed Uncemented Revision Femoral Stem to a Proximally Fixed Implant following Fatigue Fracture
| Autor: | Tahawwar Hasnat A. Minhas, Ian D. Learmonth, Peter S. Young, Rory George Middleton |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Fractures Stress Arthroplasty Replacement Hip medicine.medical_treatment Femoral stem Prosthesis Design Fixation (surgical) Postoperative Complications Hip revision Humans Medicine Orthopedics and Sports Medicine Femur Cementation Revision hip arthroplasty Revision arthroplasty business.industry Middle Aged Arthroplasty Prosthesis Failure Surgery Hip arthroplasty Treatment Outcome Hip Prosthesis Implant Periprosthetic Fractures business |
| Zdroj: | HIP International. 21:766-769 |
| ISSN: | 1724-6067 1120-7000 |
| DOI: | 10.5301/hip.2011.8859 |
| Popis: | There has been increasing focus on bone conservation through proximal fixation in primary hip arthroplasty. However, the debate regarding fixation in revision arthroplasty and which factors influence implant choice remains less clear-cut. We report a case involving fatigue fracture of a long, distally well-fixed, uncemented revision stem. This was revised to a proximally fixed implant. This case highlights a number of issues when considering the choice of implant in hip revision surgery and raises the issue of bone conservation in revision surgery. We would suggest that in both primary and revision hip arthroplasty meticulous pre-operative consideration of the choice of implant should be undertaken, especially in the younger patient with higher expectations and functional demands. |
| Databáze: | OpenAIRE |
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