Limited femorotomy: Removing a well-fixed,cementless femoral stem |
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| Affiliation: | 1. Division of Hand and Elbow Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA;2. Harvard Medical School and Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA, USA;1. Consultant Orthopaedic & Joint Replacement Surgeon, HOSMAT Hospital, Bangalore, India;2. Chief of Orthopaedics, HOSMAT Hospital, Bangalore, India;1. Fox Valley Orthopaedic Institute, Geneva, Illinois, U.S.A.;2. Dean Clinic/SSM Health, Janesville, Wisconsin, U.S.A.;1. Department of Orthopaedic Surgery, Division of Sports Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, U.S.A.;2. Department of Radiology, Division of Nuclear Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, U.S.A.;3. Wake Forest University School of Medicine, Winston-Salem, North Carolina, U.S.A.;4. Department of Emergency Medicine, Long Island Jewish Medical Center, Hofstra North Shore-LIJ School of Medicine, New Hyde Park, New York, U.S.A.;5. Eastern Virginia Medical School, Norfolk, Virginia, U.S.A. |
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| Abstract: | ![]()
We present a technique of a longitudinal posterior femorotomy that does not extend to the greater trochanter leaving the abductors intact. This technique allows safe, effective removal of well-fixed proximally coated cementless femoral stems with minimal bone loss and allows revision to metaphyseal fitting stems. We present results of this technique in 18 patients with a minimum 6-year follow-up. Harris hip scores increased from 68.2 to 92.4, all stems had evidence of good bony ingrowth, no evidence of migration, all femorotomies healed and there is no evidence of stress shielding or osteolysis. None required re-revision of femoral prosthesis. |
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| Keywords: | hip arthroplasty stem design cementless explant femorotomy ostetomy |
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