title: Minimally invasive hollow trephine technique is recommended for revision of broken uncemented and extensively porous-coated monolithic femoral stems: a review of three cases.
abstract: Revisions of fractured, uncemented and extensively porous-coated femoral stems are challenging. In this article, we report three cases of revision surgeries for broken, cementless, and extensively porous-coated femoral stems with Solution stems (DePuy, Warsaw, Indiana). In all cases, minimally invasive endofemoral revision was successfully performed without femoral osteotomy or cortical fenestration. Removal of distal broken femoral stem was performed with hollow trephine technique under fluoroscopy. For revision arthroplasty of the femoral component, Solution stems of larger diameter were used. Endofemoral approach reduces duration of surgery and the amount of blood and bone loss. Minimally invasive technique for broken and uncemented femoral stem is recommended.
authors.affiliation: Department of Orthopedics and Traumatology, University Hospital Bratislava, Slovakia.
authors.forename: Boris
authors.initials: B
authors.lastname: Steno
authors.forename: Libor
authors.initials: L
authors.lastname: Necas
authors.forename: Marian
authors.initials: M
authors.lastname: Melisik
authors.forename: Jozef
authors.initials: J
authors.lastname: Almasi
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D005269:Femur / Q000601:surgery*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D011475:Prosthesis Failure; D012086:Reoperation / Q000295:instrumentation / Q000379:methods