The management of femoral bone stock in THA revision: indications and techniques

被引:7
作者
Bianchi, Luca [1 ]
Galante, Claudio [1 ]
Zagra, Luigi [1 ]
机构
[1] IRCCS Ist Ortoped Galeazzi, Hip Dept, I-20161 Milan, Italy
关键词
Femoral revision; Hip revision arthroplasty; Bone loss; Impaction graft; Cement-within-cement technique; Tapered modular femoral stem; TOTAL HIP-ARTHROPLASTY; TOTAL JOINT ARTHROPLASTY; POROUS-COATED STEMS; UNITED-STATES; FOLLOW-UP; SURGERY; REPLACEMENT; ALLOGRAFT; CEMENT; CLASSIFICATION;
D O I
10.5301/hipint.5000174
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Following the increasing number of total hip arthroplasties, the amount of hip revision procedures continue to rise. Careful patient selection and bone loss evaluation is crucial for a correct management of femoral revision procedures. The key point in femoral revision is to obtain a reliable primary stability of the stem, with the least invasive implant as possible, to preserve and if possible to restore the bone stock. In this article we present the indications and the techniques for the femoral revisions most commonly used in Europe, referring to the evidence in the literature and our personal experiences.
引用
收藏
页码:S37 / S43
页数:7
相关论文
共 38 条
[1]  
Böhm P, 2004, CLIN ORTHOP RELAT R, P148
[2]   The use of femoral struts and impacted cancellous bone allograft in patients with severe femoral bone loss who undergo revision total hip replacement A THREE- TO NINE-YEAR FOLLOW-UP [J].
Buttaro, M. A. ;
Costantini, J. ;
Comba, F. ;
Piccaluga, F. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2012, 94B (02) :167-172
[3]   Extensively Porous-coated Stems for Femoral Revision: Reliable Choice for Stem Revision in Paprosky Femoral Type III Defects [J].
Chung, Lien-Hsiang ;
Wu, Po-Kuei ;
Chen, Cheng-Fong ;
Chen, Wei-Ming ;
Chen, Tain-Hsiung ;
Liu, Chien-Lin .
ORTHOPEDICS, 2012, 35 (07) :E1017-E1021
[4]  
DANTONIO J, 1993, CLIN ORTHOP RELAT R, P133
[5]  
Della Valle CJ, 2003, J BONE JOINT SURG AM, V85A, P1
[6]  
DENNIS DA, 1990, CLIN ORTHOP RELAT R, P212
[7]   Revision arthroplasty with use of a total femur prosthesis [J].
Friesecke, C ;
Plutat, J ;
Block, A .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (12) :2693-2701
[8]   IMPACTED CANCELLOUS ALLOGRAFTS AND CEMENT FOR REVISION TOTAL HIP-ARTHROPLASTY [J].
GIE, GA ;
LINDER, L ;
LING, RSM ;
SIMON, IP ;
SLOOFF, TJJH ;
TIMPERLEY, AJ .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1993, 75 (01) :14-21
[9]   A comparison of the reliability and validity of bone stock loss classification systems used for revision hip surgery [J].
Gozzard, C ;
Blom, A ;
Taylor, A ;
Smith, E ;
Learmonth, I .
JOURNAL OF ARTHROPLASTY, 2003, 18 (05) :638-642
[10]   Proximal femoral allografts for reconstruction of bone stock in revision arthroplasty of the hip [J].
Gross, AE ;
Hutchison, CR .
ORTHOPEDIC CLINICS OF NORTH AMERICA, 1998, 29 (02) :313-+