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Retrograde cement removal in periprosthetic fractures following hip arthroplasty
Stefan Piatek1, Thomas Westphal, Francis Holmenschlager
1Department of Trauma Surgery, Otto-von-Guericke-University, Leipziger Strasse 44, 39120 Magdeburg, Germany. stefan.piatek@medizin.uni-magdeburg.de
Introduction:
Revision of cemented hip arthroplasty after periprosthetic fractures of the femur is a demanding procedure. Many different technical devices have been developed for this purpose. This paper presents a new surgical technique of cement removal avoiding excessive exposure of the fracture site.
Materials And Methods:
In six patients with periprosthetic fractures of the femur following hip arthroplasty (Johansson Type II and III) cement removal was performed by means of advancing a retrograde nail through the intercondylar notch of the knee.
Results:
In all cases the cement was removed completely. Intraoperative complications or significant knee problems were not observed.
Conclusion:
The intracondylar approach provides a simple, rapid and less invasive technique for cement removal in revision hip arthroplasty.
