Tuesday, 14 November 2023

Periprosthetic fracture in a Octagenerian

Atrial fibrillation and aortic stenosis
 narrow canal 10.5. bowed femur 
Absence of curved 10 inch 10.5 mm dia porocoat stem made us use this cemented long exeter stem 10 mm dia and 240 mm and wired proxmally without cement. In the past a porocoat stem was cemented distally after removing the porocoat intraop with a burr only distally to cement and  the proximal uncemented stem was wired  to the periprosthetic fracture to facilitate  e ingrowth or fracture healing and immediate mobilisation . It make for a quick surgwry in these unfit pts and can mobilise full wt bearing stwt.

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