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Updated: Aug 18, 2026
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
[Indication and results of an alloarthroplastic hip joint replacement with the "crutch" endoprosthesis]
Insights
This study evaluates special hip prostheses for elderly patients with femur tumors or fractures. These prostheses offer palliative solutions and enable early patient mobilization, improving therapeutic options.
Area of Science:
- Orthopedic surgery
- Oncology
- Geriatric medicine
Background:
- Tumors and severe trauma in the intertrochanteric femur region pose significant challenges in elderly patients.
- Traditional treatments may be limited by patient frailty and disease severity.
Purpose of the Study:
- To review the indications, outcomes, and complications of using specialized upper femur prostheses.
- To assess the effectiveness of these prostheses in elderly patients with bone tumors or complex fractures.
Main Methods:
- Retrospective analysis of 30 patients treated between 1973 and 1982.
- Utilized specialized prostheses for total hip replacement in the upper femur.
Main Results:
- The specialized prosthesis served as a palliative solution for advanced tumors, facilitating local tumor removal.
- Early patient mobilization was achieved even in cases of severe fragmented fractures.
- The procedure provided temporary reconstruction and improved functional outcomes.
Conclusions:
- Total hip replacement with specialized prostheses is a valuable therapeutic option for select elderly patients.
- This surgical approach offers significant benefits, including pain relief and improved mobility, in challenging orthopedic cases.
Abstract:
After discussing the relevant literature concerning indication, results and complications of total-hip-replacement by special prothesis of the upper end of the femur in cases of tumors or serious traumatic bone destructions of the intertrochanteric region of elder patients we representate our own 30 patients (from the years 1973 to 1982). Often, this special prothesis could be only a palliative regional solution in the cases of local removal of the tumor because of the advanced disease. But this treatment is important for temporary reconstruction; even in cases of aged patients with serious fragmented fractures of the pertrochanteric and subtrochanteric region we could reach an early remobilisation. This operation represents--in certain indications--an essential improvement of therapeutic facilities.
