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Updated: Aug 2, 2026
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Revision hip arthroplasty in patients with a history of previous malignancy
M Salai1, D Zippel, M Perelman
1Department of Orthopedic Surgery A, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Background And Objectives:
The potential association between implants and malignancy has been discussed in the literature, but never as a cause of loosening of joint arthroplasty.
Methods:
The records of all patients who underwent revision arthroplasty at our institution between 1992 and 1995 were reviewed.
Results:
Among 93 patients who underwent revision hip arthroplasties, 11 (11.8%) had a history of previous malignancy. At surgery, in 2 of these patients, metastasis was found to be the cause of loosening in the affected hip.
Conclusions:
When revision hip arthroplasty is considered, patients with a history of malignancy require attenuated pre-, intra-, and postoperative workup. Management algorithm in such cases is proposed.
