Proximal femoral arthroplasty in patients undergoing revision hip arthroplasty

Gerard M.J. March, Niloofar Dehghan, Luca Gala, Mark J. Spangehl, Paul R. Kim

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Bone loss represents one of the greatest challenges in revision joint surgery. A retrospective review was conducted of both radiographic and clinical outcomes of eleven patients who underwent revision arthroplasty using a long extensively porous coated cylindrical femoral component. All patients' femurs presented with severe proximal femoral bone loss (Paprosky class IIIB and IV). With a mean follow-up of 8. years (2 to 14) we report no femoral revisions and one acetabular revision to a constrained cup secondary to instability. All patients were clinically and radiographically stable. We did not observe any issue with proximal stress shielding or component loosening. The article reports that in patients with severe proximal femoral bone loss, extensively porous-coated non-modular stems are a viable option offering stable and predictable outcomes.

Original languageEnglish (US)
Pages (from-to)2171-2174
Number of pages4
JournalJournal of Arthroplasty
Volume29
Issue number11
DOIs
StatePublished - Nov 1 2014

Keywords

  • Distal fixation
  • Extensively porous-coated non-modular stems
  • Femoral bone loss
  • Osteointegration
  • Revision hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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  • Cite this

    March, G. M. J., Dehghan, N., Gala, L., Spangehl, M. J., & Kim, P. R. (2014). Proximal femoral arthroplasty in patients undergoing revision hip arthroplasty. Journal of Arthroplasty, 29(11), 2171-2174. https://doi.org/10.1016/j.arth.2014.07.022