Removing Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System

Improvements in materials, components, and surgical techniques in cementless total hip arthroplasty are resulting in improved femoral stem fixation through bony ongrowth or ingrowth. While improved femoral stem fixation is one reason for the current excellent total hip survivorship, indications for...

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Autores principales:	Kevin M. Sagers, DO, Jonathan D. Creech, MD, John S. Shields, MD, David C. Pollock, MD, Maxwell K. Langfitt, MD, Johannes F. Plate, MD, PhD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Revision hip arthroplasty Cementless Explantation Resection arthroplasty Femoral stem removal Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/9962cdd722244e8bbb64857f98361707
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spelling	oai:doaj.org-article:9962cdd722244e8bbb64857f983617072021-11-14T04:33:48ZRemoving Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System2352-344110.1016/j.artd.2021.07.004https://doaj.org/article/9962cdd722244e8bbb64857f983617072021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352344121001229https://doaj.org/toc/2352-3441Improvements in materials, components, and surgical techniques in cementless total hip arthroplasty are resulting in improved femoral stem fixation through bony ongrowth or ingrowth. While improved femoral stem fixation is one reason for the current excellent total hip survivorship, indications for stem removal such as infection, implant fracture, or osteolysis remain. A commonly used technique for fully ingrown femoral stems is an extended trochanteric osteotomy which can result in comminuted fractures of the proximal femur during stem removal requiring additional fixation. Therefore, a novel hip stem removal was developed to facilitate removal of these well-ingrown stems without the need for an extended trochanteric osteotomy. This study describes the removal system and surgical technique and presents a case series of successfully removed ingrown stems.Kevin M. Sagers, DOJonathan D. Creech, MDJohn S. Shields, MDDavid C. Pollock, MDMaxwell K. Langfitt, MDJohannes F. Plate, MD, PhDElsevierarticleRevision hip arthroplastyCementlessExplantationResection arthroplastyFemoral stem removalOrthopedic surgeryRD701-811ENArthroplasty Today, Vol 11, Iss , Pp 146-150 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Revision hip arthroplasty Cementless Explantation Resection arthroplasty Femoral stem removal Orthopedic surgery RD701-811
spellingShingle	Revision hip arthroplasty Cementless Explantation Resection arthroplasty Femoral stem removal Orthopedic surgery RD701-811 Kevin M. Sagers, DO Jonathan D. Creech, MD John S. Shields, MD David C. Pollock, MD Maxwell K. Langfitt, MD Johannes F. Plate, MD, PhD Removing Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System
description	Improvements in materials, components, and surgical techniques in cementless total hip arthroplasty are resulting in improved femoral stem fixation through bony ongrowth or ingrowth. While improved femoral stem fixation is one reason for the current excellent total hip survivorship, indications for stem removal such as infection, implant fracture, or osteolysis remain. A commonly used technique for fully ingrown femoral stems is an extended trochanteric osteotomy which can result in comminuted fractures of the proximal femur during stem removal requiring additional fixation. Therefore, a novel hip stem removal was developed to facilitate removal of these well-ingrown stems without the need for an extended trochanteric osteotomy. This study describes the removal system and surgical technique and presents a case series of successfully removed ingrown stems.
format	article
author	Kevin M. Sagers, DO Jonathan D. Creech, MD John S. Shields, MD David C. Pollock, MD Maxwell K. Langfitt, MD Johannes F. Plate, MD, PhD
author_facet	Kevin M. Sagers, DO Jonathan D. Creech, MD John S. Shields, MD David C. Pollock, MD Maxwell K. Langfitt, MD Johannes F. Plate, MD, PhD
author_sort	Kevin M. Sagers, DO
title	Removing Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System
title_short	Removing Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System
title_full	Removing Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System
title_fullStr	Removing Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System
title_full_unstemmed	Removing Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System
title_sort	removing well-fixed, collared and noncollared tapered hip stems without an extended trochanteric osteotomy using a novel stem removal system
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/9962cdd722244e8bbb64857f98361707
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Removing Well-Fixed, Collared and Noncollared Tapered Hip Stems Without an Extended Trochanteric Osteotomy Using a Novel Stem Removal System

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