Seminars in Arthroplasty
Volume 21, Issue 1 , Pages 48-50, March 2010

The Revision Femur: A Potpourri of Options—Proximal Bone Loss: Distal Modular Fixation

  • John J. Callaghan, MD

      Affiliations

    • VA Medical Center, Iowa City, IA, USA
    • Corresponding Author InformationAddress reprint requests to John J. Callaghan, MD, 200 Hawkins Drive, UIHC, 01029 JPP, Iowa City, IA 52242
    • ,
  • Steve S. Liu, MD

      Affiliations

    • Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA
    • ,
  • Christopher W. Wells, BA

      Affiliations

    • Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA

There are many options in revision total hip arthroplasty with cases of proximal femoral bone loss (Paprosky Type IIB and Type IV femurs). The gold standard has been the use of extensively coated stems with a track record of 90%-95% survivorship at 10 years following revision surgery. Modular tapered stems can address problems that were somewhat problematic with extensively coated stems. Specifically, it is an option in the revision situation where distal diaphyseal fixation is less than 4 cm, in cases of large femoral canals, and in cases with stability concerns (ie, retention of acetabular components).

Keywords: total hip revision, proximal femoral bone loss, modular fixation

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 J.J.C. is a Consultant and receives Royalties from DePuy.

PII: S1045-4527(09)00085-6

doi:10.1053/j.sart.2009.12.002

Seminars in Arthroplasty
Volume 21, Issue 1 , Pages 48-50, March 2010

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