Management of Severe Femoral Bone Loss in Revision Total Hip Arthroplasty

被引：36

作者：

Sheth, Neil P. ^{[1
]}

Melnic, Christopher M. ^{[2
]}

Rozell, Joshua C. ^{[2
]}

Paprosky, Wayne G. ^{[3
]}

机构：

[1] Univ Penn, Dept Orthopaed Surg, Philadelphia, PA 19107 USA

[2] Univ Penn, Dept Orthopaed Surg, Philadelphia, PA 19104 USA

[3] Rush Univ, Dept Orthopaed Surg, Midwest Orthopaed, Chicago, IL 60612 USA

来源：

ORTHOPEDIC CLINICS OF NORTH AMERICA | 2015年 / 46卷 / 03期

关键词：

Revision total hip arthroplasty; Severe femoral bone loss; Preoperative planning; Reconstruction; POROUS-COATED STEMS; FOLLOW-UP; REPLACEMENT; PROSTHESIS; ALLOGRAFT; FIXATION; MINIMUM; SURGERY; CEMENT; OSSEOINTEGRATION;

D O I：

10.1016/j.ocl.2015.02.002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Femoral bone loss is a complex problem in revision total hip arthroplasty. The Paprosky classification is used when determining the degree and location of bone loss. Meticulous operative planning is essential where severe bone loss is a concern. One must correctly identify the bone loss pattern, safely remove the existing components, and proceed with the proper reconstruction technique based on the pattern of bone loss. This article discusses the etiology and classification of bone loss, clinical and radiographic evaluation, components of effective preoperative planning, and clinical results of various treatment options with a focus on more severe bone loss patterns.

引用

页码：329 / +

页数：15

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