Cemented Long-Stem Femoral Components in Revision Total Hip Arthroplasty
Although cementless reconstruction is indicated for most femoral revisions, there are exceptions where cemented, long-stem femoral revisions may be preferred.1,2,3 These relative indications include: allograft-prosthetic composites (Fig. 32.1); failed cementless reconstruction (Fig. 32.2A, B); reimplantation for sepsis with antibiotic-impregnated bone cement (Fig. 32.3); elderly patients with poor proximal femoral bone; and medical conditions limiting life expectancy and activity level with pathologic remaining bone (rheumatoid arthritis, dialysis and transplantation patients, systemic lupus erythematosus, and metastatic disease). Relative exclusions include young, active patients with life expectancy greater than 10 years; and femora with fractures, perforations, and/or bone deficiencies requiring internal fixation or biologic bone graft reconstruction.
KeywordsCatheter Arthritis Perforation Polymethylmethacrylate Allo
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