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Published on: November 21, 2017
Difficulties associated with the variable geometry of different-offset Exeter long stems in cement-in-cement
Francisco Ferrero-Manzanal1, Antonio Murcia-Asensio2, Miguel Angel Suárez-Suárez3
1Department of Traumatology and Orthopaedic Surgery, Hospital General Universitario Santa Lucía, Calle Mezquita s/n, 30202, Cartagena, Spain.
Abstract:
Although the cement in cement technique is a simple method for exchanging cemented stems, it may be technical demanding. The different geometry of different-offset Exeter long stems can be a problem with this technique. We describe a case revision hip surgery as a consequence of neglected bipolar hemiarthroplasty dislocation in which a 44 mm offset long stem was exchanged by a shorter and smaller size 37.5 mm offset stem. The implications of the procedure and the surgical pitfalls are discussed.
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