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Published on: February 27, 2018
Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?
Ioannis S Vasios1, Konstantinos G Makiev1, Georgios Drosos1
1Department Orthopaedics, Unit for Surgical Reconstruction of Major Joints, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.
Introduction:
Total hip arthroplasties (THA) is the gold standard treatment for end-stage hip osteoarthritis. The rise in primary THA incidence has led to a corresponding increase in THA revision rates. Revision surgeries are challenging and pose significant burdens on patients and on healthcare systems worldwide. The use of short stems as revision implants are considered "off-label" and the literature on this application is scarce. Our purpose is to present the results of a revision surgery using a short femoral prosthesis as well as a review of the current literature on this perspective.
Case Report:
A 64-year-old male patient suffered from aseptic loosening of the right THA that was revised with a type-3 short femoral prosthesis.
Conclusion:
Short femoral stems are a viable option for revision surgeries especially for young patients. Although there are many surgeons who would oppose to their usage in this setting, few would deny that their advantages outnumber their cons.
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