Revision Total Hip Arthroplasty With a Modular Cementless Femoral Stem

Survivorship and Complications of Revision Total Hip Arthroplasty with a Mid-Modular Femoral Stem

“…However, some authors have demonstrated a trend of higher rates of aseptic loosening with more severe bone loss. [13] Subsidence has also been reported as a concern with mid-modular tapered stems [22][23][24] In this series, we had a very low rate of subsidence, as 96% of stems subsided less than 2mm and averaged 0.6 mm (range, 0-11 mm) for the entire cohort. Only one stem in our large series was revised due to mechanical loosening due to subsidence of 11mm.…”

“…[12,13] We feel that ensuring good bony contact around the proximal body at the mid-modular junction along with excellent diaphyseal fit can help to minimize this risk.…”

“…[8][9][10][11][12][13] We report the mid-term results of survivorship and complications of patients who underwent revision THA with mid-modular cementless femoral stems.…”

Single vs 2-Stage Revision for the Treatment of Periprosthetic Joint Infection

“…Although this allows high concentration of antibiotics at the source of the infection, mechanical properties of cement are dampened, increasing risk of failure [40]. However, the experience with using fully cemented components for revisions in North America has been poor despite excellent results reported in Europe [41,42] with most high-volume revision surgeons routinely using cementless implants for their reconstructions and this has been among the factors that have led to a more limited use of a single-stage exchange [43,44].…”

The Survivorship of Revision Total Hip Replacement With Severe Proximal Bone Deficiency Using a Modular Taper Fluted Prosthesis

“…There are published case series involving modular, distal t revision systems that have demonstrated a greater than 5-year mean survivorship with no reported modular failures, although host bone support of the modular junction is unclear [17][18][19][20]. We believe the increased strength at the proximal body-distal stem junction and the surgical technique to cover this junction with host bone may have contributed for the decrease in mechanical failures reported.…”