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

References 

  1. Valle CJ, Paprosky WG. Classification and an algorithmic approach to the reconstruction of femoral deficiency in revision total hip arthroplasty. J Bone Joint Surg Am. 2003;85(suppl 4):1–6
  2. Hamilton WG, Cashen DV, Ho H, et al. Extensively porous-coated stems for femoral revision: A choice for all seasons. J Arthroplasty. 2007;22(4 suppl 1):106–110
  3. Weeden SH, Paprosky WG. Minimal 11-year follow-up of extensively porous-coated stems in femoral revision total hip arthroplasty. J Arthroplasty. 2002;17(4 suppl 1):134–137
  4. Bohm P, Bishcel O. Femoral revision with the Wagner SL revision stem. J Bone Joint Surg Am. 2001;83:1023–1031
  5. Bohm P, Bischel O. The use of tapered stems for femoral revision surgery. Clin Orthop. 2004;420:148–159
  6. Gutierrez Del Alamo J, Garcia-Cimbrelo E, Castellanos V, et al. Radiographic bone regeneration and clinical outcome with the Wagner SL revision stem: A 5-year to 12-year follow-up study. J Arthroplasty. 2007;22:515–524
  7. Lubinus P, Klauser W. A modular option for proximal bone loss. Orthopedics. 2000;23:953–954
  8. Sporer SM, Paprosky WG. Femoral fixation in the face of considerable bone loss: The use of modular stems. Clin Orthop. 2004;429:227–231
  9. Rodriguez JA, Fada R, Murphy SB, et al. Two-year to five-year follow-up of femoral defects in femoral revision treated with the link MP modular stem. J Arthroplasty. 2009;24:751–758

 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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