Title

Modular tapered fluted stems: An accommodating option in the setting of femoral bone deficiency

Publication Date

2015

Journal Title

Semin Arthroplasty

Abstract

Tapered, fluted, modular, titanium stems are being used more frequently for revision total hip arthroplasty to address femoral bone deficiencies. Mid- and long-term survivorship studies demonstrate that these stems are a durable implant design, while outcome studies show that they provide favorable patient satisfaction and function. Subsidence, implant fracture, and stress shielding are frequently encountered complications, which can be minimized through the use of meticulous preoperative templating, direct visualization of the femoral stem using mini C-arm fluoroscopy, and through the use of a kinked femoral implant. By using these techniques, a canal-filling implantation technique can be achieved.

Volume Number

26

Issue Number

3

Pages

163-166

Document Type

Article

Status

Northwell Researcher

Facility

Northwell Health

Primary Department

Orthopedic Surgery

DOI

10.1053/j.sart.2015.09.012