[Replacement of femoral hip prostheses].
Femoral revision of total hip arthroplasty is a technically demanding procedure. Therefore, accurate preoperative planning is essential for good clinical results. With many reconstruction methods available, the decision-making process can be complex. Well established classification systems can facilitate preoperative planning. At the time of revision surgery appropriate implants and instruments have to be available ensuring the possibility of managing operative complications. Primary goals of revision arthroplasty are restoration of the physiological joint biomechanics and primary stable fixation of the revision implant. In consideration of possible repeat revision surgery, cementless stem fixation should be preferred. Modular stems provide significant flexibility in restoring the center of rotation. Depending on the pre-existing femoral defect, osseous grafts can be necessary.The scope and classification systems of femoral osseous defects in revision arthroplasty will be discussed and different treatment options will be outlined, which guide the surgeon in selecting an appropriate method of reconstruction.
Orthopädische Klinik, König-Ludwig-Haus, Julius-Maximilians-Universität Würzburg, Brettreichstrasse 11, Würzburg, Germany. m-rudert.klh@uni-wuerzburg.de
M
M
Rudert
M
M
Hoberg
P M
PM
Prodinger
R
R
Gradinger
B M
BM
Holzapfel
D016025:Bone Transplantation; D019544:Equipment Failure Analysis; D006622:Hip Prosthesis; D006801:Humans; D016348:Osseointegration; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D017755:Prosthesis Fitting; D011859:Radiography; D012086:Reoperation
Femoraler Hüftprothesenwechsel.