Removal of an osteointegrated broken uncemented femoral stem after hip arthroplasty—technical note
Journal of Orthopaedic Surgery and Research, ISSN: 1749-799X, Vol: 16, Issue: 1, Page: 221
2021
- 4Citations
- 12Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations4
- Citation Indexes4
- CrossRef1
- Captures12
- Readers12
- 12
Article Description
Broken stems are particularly challenging in revision hip arthroplasty, as no standard extraction instruments fit anymore. Well-integrated uncemented stem remnants can be particularly arduous to remove. Stem fatigue failure is not rare with modular stems. Since these are particularly useful in revision hip arthroplasty, increasing numbers of broken stems are to be expected. Usually applied techniques using cortical fenestration distally to the tip of the stem or using an extended transfemoral approach cause supplementary bone defects impairing reconstruction. We present a relatively simple and reproducible revision technique, using a limited standard approach and only regular orthopedic instruments, to extract the remnants of broken uncemented femoral stems in hip arthroplasty. This technique was applied successfully and without complications in 6 cases, permitting eventually the reimplantation of even shorter stems.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85103539961&origin=inward; http://dx.doi.org/10.1186/s13018-021-02365-x; http://www.ncbi.nlm.nih.gov/pubmed/33771182; https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02365-x; https://dx.doi.org/10.1186/s13018-021-02365-x
Springer Science and Business Media LLC
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