title: [Procedure in extensive or complete loss of bone substance of the femur following shaft loosening].
abstract: We reviewed our present method of treatment in cases of femoral bone loss. Our clinical experience with the method is based on 800 exchange operations performed at the Endo-Klinik per year. The review showed that in cases of proximal bone deficiency, custom-made protheses are increasingly required. Cemented implants are used in septic and aseptic cases but we also have had experience with a small number of cases in which reconstructive surgery was carried out using allografts and cementless shaft components. In 1.4% of revision cases total femoral replacement is required. We have had more than 12 years experience with this type of prostheses, which is available as a modular system. So far there has been no disarticulation as a result of implant failures but in some instances failure occurred due to persistent deep infections.
authors: Endo-Klinik, Hamburg.
authors: K
authors: K
authors: Steinbrink
mesh_terms: D001843:Bone Cements / Q000008:administration & dosage; D005264:Femoral Fractures / Q000601:surgery; D005266:Femoral Neoplasms / Q000601:surgery; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011542:Pseudarthrosis / Q000601:surgery; D013530:Surgical Wound Infection / Q000601:surgery
chemical_list: D001843:Bone Cements
vernacular_title: Vorgehen bei ausgedehntem oder völligem Knochensubstanzverlust des Femurs nach Schaftlockerung.