Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty:Complications in a 2–11 year follow-up study in 19 elderly patients

Haentjens, Patrick; Boeck, Hugo De; Opdecam, Pierre

doi:10.3109/17453679608995606

Cited by 86 publications

(57 citation statements)

References 16 publications

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“…The most common complication reported after proximal femoral replacement was dislocation [14,15,18,30]. In our study, three of the 36 patients (8.3%) had a dislocation.…”

Section: Discussionmentioning

confidence: 77%

Quality of Life Following Proximal Femoral Replacement Using a Modular System in Revision THA

Al-Taki

Masri

Duncan

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Proximal femoral replacement using a segmental modular system is one option for revision THA in the presence of severe bone loss or periprosthetic fracture. While many papers report function in these patients, they do not describe the quality of life. Questions/purposes We evaluated the quality of life in patients undergoing proximal femoral replacement using a segmental modular system for severe bone loss. Patients and Methods We retrospectively reviewed 63 patients undergoing complex revision THA using a modular replacement system for nonneoplastic conditions between April 1996 and June 2006. Average age was 73 years (range, 23-94 years). Twenty-one patients were lost to followup and six patients died before 2-year minimum followup. The remaining 36 patients were followed for an average of 3.2 years (range, 2-10 years). Study patients were matched by age-decade to a control group of patients undergoing conventional revision THA. At baseline, both groups were comparable with respect to age, comorbidities, and quality-of-life scores.

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“…The most common complication reported after proximal femoral replacement was dislocation [14,15,18,30]. In our study, three of the 36 patients (8.3%) had a dislocation.…”

Section: Discussionmentioning

confidence: 77%

Quality of Life Following Proximal Femoral Replacement Using a Modular System in Revision THA

Al-Taki

Masri

Duncan

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…However, the presence of active bone marrow may be interpreted as future areas of vascular invasion, remodeling bone graft, and new bone formation. Reported treatment alternatives for these complex situations include modular fluted stems [1,30], tumoral prostheses that replace the proximal femur [19,27,35,36], and allograft-prostheses [2,16,28]. Revision arthroplasty with use of a modular fluted stem has been described as an option in these situations.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the long-term outcomes of such reconstructions are not yet available. Because of concerns about possible early failure, the use of modular prosthetic replacements (so-called megaprostheses) is typically reserved for elderly and sedentary patients as implantation can be performed in a more expeditious manner than other, more complex reconstructive procedures [19,27,35,36]. The diaphyseal cement fixation predisposes the bonecement-prosthesis to high torsional and compressive stresses leading to early loosening [35] (Table 3).…”

Section: Discussionmentioning

confidence: 99%

Proximal Femoral Reconstructions with Bone Impaction Grafting and Metal Mesh

Buttaro

Piccaluga

2009

Clinical Orthopaedics &Amp; Related Research

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Extensive circumferential proximal cortical bone loss is considered by some a contraindication for impaction bone grafting in the femur. We asked whether reconstruction with a circumferential metal mesh, impacted bone allografts, and a cemented stem would lead to acceptable survival in these patients. We retrospectively reviewed 14 patients (15 hips) with severe proximal femoral bone defects (average, 12 cm long; 14 type IV and one type IIIB using the classification of Della Valle and Paprosky) reconstructed with this method. The minimum followup was 20 months (average, 43.2 months; range, 20-72 months). Preoperative Merle D'Aubigné and Postel score averaged 4.8 points. With revision of the stem as the end point, the survivorship of the implant was 100% at one year and 86.6% at 72 months. The mean functional score at last followup was 14.4 points. We observed two fractures of the metal mesh at 31 and 48 months in cases reconstructed with a stem that did not bypass the mesh. Dislocation (3 cases) and acute deep infection (3 cases) were the most frequent complications. Patients with com-

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“…Reconstruction options when faced with significant proximal femoral bone loss in complicated revision arthroplasty include APC -allograft-prosthetic composites 14,15 insertion of a megaprosthesis 16,17 or resection arthroplasty. 18 Resection arthroplasty is employed as a last resort in cases of intractable pain, limb shortening and significantly impaired functional ability.…”

Section: Discussionmentioning

confidence: 99%

“…12 These reconstructions however are frequently complicated by dislocation, loosening and infection which can adversely affect limb function and prosthetic longevity. [13][14][15] The purpose of our study was to assess the clinical outcomes of a cohort of megaprostheses performed for PPF by a single surgeon at our institution.…”

Section: Introductionmentioning

confidence: 99%

Early results of the LPS™ limb preservation system in the management of periprosthetic femoral fractures

Curtin

Bryan

Murphy

et al. 2017

Journal of Orthopaedics

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Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty:Complications in a 2–11 year follow-up study in 19 elderly patients

Cited by 86 publications

References 16 publications

Quality of Life Following Proximal Femoral Replacement Using a Modular System in Revision THA

Quality of Life Following Proximal Femoral Replacement Using a Modular System in Revision THA

Proximal Femoral Reconstructions with Bone Impaction Grafting and Metal Mesh

Early results of the LPS™ limb preservation system in the management of periprosthetic femoral fractures

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