Modular tapered titanium stems in revision arthroplasty of the hip THE RISK AND CAUSES OF STEM FRACTURE

被引:64
|
作者
Konan, S. [1 ]
Garbuz, D. S. [1 ]
Masri, B. A. [1 ]
Duncan, C. P. [1 ]
机构
[1] Univ British Columbia, Vancouver Gen Hosp, Vancouver, BC V5Z 1M9, Canada
来源
BONE & JOINT JOURNAL | 2016年 / 98B卷 / 01期
关键词
PERIPROSTHETIC FEMUR FRACTURES; FEMORAL REVISION; VANCOUVER B2; MANAGEMENT; FIXATION; SURGERY;
D O I
10.1302/0301-620X.98B1.36442
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Tapered fluted titanium stems are increasingly used for femoral revision arthroplasty. They are available in modular and non-modular forms. Modularity has advantages when the bone loss is severe, the proximal femur is mis shapen or the surgeon is unfamiliar with the implant, but it introduces the risk of fracture of the stem at the junction between it and the proximal body segment. For that reason, and while awaiting intermediate-term results of more recently introduced designs of this junction, non-modularity has attracted attention, at least for straightforward revision cases. We review the risks and causes of fracture of tapered titanium modular revision stems and present an argument in favour of the more selective use of modular designs.
引用
收藏
页码:50 / 53
页数:4
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