Extensively coated cementless femoral components in revision total hip arthoplasty: an update.
The vast majority of femoral revisions that an orthopaedic surgeon encounters can be treated successfully with an extensively porous coated stem. Long-term results have demonstrated that this type of implant can provide reliable initial fixation with a high propensity for long-term fixation. Depending on the degree of femoral bone loss (Paprosky Type IIIA or Type IIIB bone), a longer cementless stem may be required to obtain initial axial and rotational stability. If severe bone loss is present (Paprosky Type IV bone), large canal diameters are encountered (>19 mm), or if torsion remodeling of the proximal femur has occurred, alternative methods of fixation may be required.
Sporer
Scott M
SM
Rush University Medical Center, Chicago, Illinois, USA.
Paprosky
Wayne G
WG
D019644:Arthroplasty, Replacement, Hip; D001843:Bone Cements; D001847:Bone Diseases / Q000150:complications / Q000601:surgery; D020099:Coated Materials, Biocompatible / Q000627:therapeutic use*; D020878:Device Removal; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000150:complications / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation
D001843:Bone Cements; D020099:Coated Materials, Biocompatible