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