Head-neck disassembly of an uncemented revision stem treated by addition of a proximal spacer.
A 67-year-old woman underwent revision total hip replacement with a long, distally fixed uncemented stem inserted through a transfemoral approach. Initial stability was not achieved and the stem subsided early. Probably due to a conflict with the minor trochanter, the prosthetic head detached from its neck. Instead of a re-revision of the stem, a proximal spacer was inserted to restore stability and to compensate for leg-length discrepancy. This has proved to be a stable and satisfactory solution after three years follow-up.
Regis
Dario
D
Orthopaedic Department, University of Verona, Italy. ortopvr@libero.it
Modena
Martino
M
Danesi
Giuliano
G
Corallo
Fabio
F
Bartolozzi
Pietro
P
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D001843:Bone Cements; D005260:Female; D005270:Femur Head / Q000601:surgery; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012086:Reoperation; D012720:Severity of Illness Index; D016896:Treatment Outcome
D001843:Bone Cements