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Surgical tactics in the revision of the hip prosthesis pin
T Jabłoński1, A Górecki, K Purski
1Katedra i Klinika Ortopedii i Traumatologii Narzadu Ruchu, I Wydział Lekarski, Akademia Medyczna, Warszawa.
Abstract:
Parallel to the rise in the number of primary hip arthroplasties the number of complications is also increasing, especially aseptic loosening of cemented implants and uncemented implants with a smooth surface. The loosening of the implant is very often accompanied by the destruction of bone stock, which requires reconstruction.
On the base of 217 cases operated in the years 1997-2000 the authors present the methods of treating deficits in the proximal femur using special instruments, bone transplants, reconstructive systems, and revision prostheses. The so-called biological attitude to the problem is preferred. Operative tactics are presented in respect to bone deficits classified according to Mallory.