Abstract
Uncemented fluted femoral stems were designed by Heinz Wagner for use in patients with bone stock that is insufficient for proximal metaphyseal fixation. The original description included a particular approach called “Transfemoraler Zugang” that is splitting the femur with a longitudinal osteotomy. Seventy-four revision total hip arthroplasties were performed using this approach with a conical, fluted stem (Restoration T3 – Howmedica Stryker). The mean follow-up was 7.1 years. The clinical results were quite satisfactory. Subsidence in excess of 10 mm was present in 8 % of the cases, in no case progressive. There were no particular complications related to the surgical approach. Femoral reconstruction was achieved in 88 % of the cases. No patient required re-revision of the stem. Transfemoral Extended Osteotomy in association with conical, fluted stems is an effective technique and gives quite satisfactory long-term results.
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Acknowledgements
The Authors are really indebted to Ms. Giliola Gamberini and Ms. Maria Pia Cumani of the Superior School of Medical Drawing of the Rizzoli Orthopedic Institute of Bologna, for having done the illustrations for this Paper and for their continuous help.
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© 2014 EFORT
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Binazzi, R., Kjærsgaard-Andersen, P. (2014). Revision Total Hip Replacement with Transfemoral Extended Osteotomy. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_118
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DOI: https://doi.org/10.1007/978-3-642-34746-7_118
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