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Use of short stems in revision of standard femoral stem:A case report

World Journal of Orthopedics 2020年第11期11卷 528-533页

作者： Francesco Roberto Evola Giuseppe Evola Giuseppe Sessa University of Catania Department of SurgeryClinic OrthopaedicCatania 95124Italy General and Emergency Surgery Department Surgery ClinicCatania 95124Italy

BACKGROUND Short stems are usually uncemented prosthetics and are recommended in the treatment of traumatic or degenerative diseases of *** revision procedures for elderly patients with serious comorbidity,applying a short stem could reduce peri-and post-operative secondary surgical risks to femoral osteotomy,which are necessary for the removal of parts of the implant or acrylic cement from the medullary *** are no cases in the literature that apply a short stem for prosthetic revision by acrylic cement *** SUMMARY A male patient had a left hip replacement in 1995 due to *** the age of eighty the patient reported an accidental trauma and walked with pain in the left *** X-ray highlighted the stem breakage in the distal section without fracturing the femoral *** patient had various comorbidities(diabetes,anaemia,heart deficiency,and arrhythmia)presenting a high operation risk(ASA 4).During the revision procedure,the distal apex of the stem could not be removed from the femoral *** of the poor general health of the patient,the surgeon decided not to perform a Wagner femoral osteotomy to remove the distal section of the stem and decided to implant a short stem to avoid removing the stem section of the previous *** patient had his left femur X-rayed 15 d *** A field of application of short stem may be the development of a cemented short stem to reduce the complexity of the revision procedure.

关键词： Short stem revision procedure Cementless implant Total hip replacement Prosthesis design Case report

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