Limited femorotomy: Removing a well-fixed, cementless femoral stem

Simon J. Pearce*, Christopher Jack, Arjuna Imbuldeniya, William L. Walter, William K. Walter, Bernard Zicat

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We present a technique of a longitudinal posterior femorotomy that does not extend to the greater trochanter leaving the abductors intact. This technique allows safe, effective removal of well-fixed proximally coated cementless femoral stems with minimal bone loss and allows revision to metaphyseal fitting stems. We present results of this technique in 18 patients with a minimum 6-year follow-up. Harris hip scores increased from 68.2 to 92.4, all stems had evidence of good bony ingrowth, no evidence of migration, all femorotomies healed and there is no evidence of stress shielding or osteolysis. None required re-revision of femoral prosthesis.

Original languageEnglish
Pages (from-to)106-110
Number of pages5
JournalSeminars in Arthroplasty
Volume24
Issue number2
DOIs
Publication statusPublished - Jun 2013
Externally publishedYes

Keywords

  • Cementless
  • Explant
  • Femorotomy
  • Hip arthroplasty
  • Ostetomy
  • Stem design

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