Saturday, 13 July 2013

Femoral component loosening in a ha coated stem in one year

The questions asked were whether revise only the stem and secondly uncemented or cemented revision
My opinion is as follows
The femoral stem has major osteolysis,new bone formation, short duration of implantation and had problems during primary as seen by the circumferential ss wires. It is infected unless proved otherwise. One should aspirated, le test, and intraop frozen section. If you got a decent bug preop one could consider a one stage revision, otherwise be safe and do a 2 stage revision. My choice of stem will be srom and would revise both cup and stem if infected and would go for stem only if the lab is trusted and negative. You could use any modular or mono lock distal loading stem too.








revision




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