A stem-allograft composite for femoral revision in total hip arthroplasty.
Femoral revision is difficult when the femoral canal exceeds 20 mm in diameter. For this subset of patients, we used a technique of cementing cortical allograft sleeves to a proximal ingrowth stem. The diameter of the allograft sleeves are matched to the diameter of the host femur. The stem-allograft construct provides initial stability with the opportunity for proximal bone ingrowth.
Incavo
Stephen J
SJ
Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, Vermont 05405, USA.
Mihalich
Robert M
RM
Coughlin
Kathryn M
KM
D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005269:Femur; D006801:Humans; D012086:Reoperation; D014184:Transplantation, Homologous