Management bone loss of the proximal femur in revision hip arthroplasty: Update on reconstructive options

查看全文 作　　者：Vasileios I [1]Sakellariou;George C [2]Babis

机构地区：[1]First Department of Orthopaedics, Medical School, University of Athens, ATTIKON University General Hospital;[2]Second Department of Orthopaedics, Medical School, University of Athens, Nea Ionia General Hospital

出　　处：《World Journal of Orthopedics》索引2014年第5卷第5期,共9页

摘　　要：The number of revision total hip arthroplasties is expected to rise as the indications for arthroplasty will expand due to the aging population. The prevalence of extensive proximal femoral bone loss is expected to increase subsequently. The etiology of bone loss from the proximal femur after total hip arthroplasty is multifactorial. Stress shielding, massive osteolysis, extensive loosening and history of multiple surgeries consist the most common etiologies. Reconstruction of extensive bone loss of the proximal femur during a revision hip arthroplasty is a major challenge for even the most experienced orthopaedic surgeon. The amount of femoral bone loss and the bone quality of the remaining metaphyseal and diaphyseal bone dictate the selection of appropriate reconstructive option. These include the use of impaction allografting, distal press-fit fixation, allograft-prosthesis composites and tumor megaprostheses. This review article is a concise review of the current literature and provides an algorithmic approachfor reconstruction of different types of proximal femoral bone defects. 关键词：ARTHROPLASTY PROXIMAL FEMUR Reconstruction Bone loss

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Management bone loss of the proximal femur in revision hip arthroplasty: Update on reconstructive options

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