Component Selection in Revision Total Hip Arthroplasty - 28/06/14
, William J. Hozack, MDRésumé |
Component selection for revision total hip arthroplasty is important for creating a stable hip, providing offset to maximize joint mechanics, and restoring appropriate leg lengths. On the femoral side, fully porous coated stems, modular tapered stems, and proximal femoral replacements can be used depending on the level of bone loss. For the acetabulum, smaller defects can be contained using second-generation porous coating hemispherical cups, whereas larger acetabular defects can be contained with cup cages, cages, or custom triflange implants. In addition, acetabular liners can improve stability through altered cup version, dual mobility, or constraint of the femoral head.
Le texte complet de cet article est disponible en PDF.Keywords : Revision total hip arthroplasty, Fully porous coated stems, Modular components, Trabecular metal, Acetabular augments, Cages
Plan
| Disclosures: A.F. Chen has no disclosures that are relevant to the topic discussed within this article. W.J. Hozack is a consultant and receives royalties from Stryker. |
Vol 45 - N° 3
P. 275-286 - juillet 2014 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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