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Proximal Femoral Replacement

  • Eustathios Kenanidis
  • Eleftherios Tsiridis
  • Anthony Viste
  • Michael J. Taunton
  • Mathew P. Abdel
  • Valeriy Murilev
  • Yaroslav Rukin
  • Rashid Tikhilov
  • Georgi I. Wassilew
Chapter

Abstract

PFA is an established treatment method for the management of bone loss following oncological resection [1]. PFA is also rarely used for non-neoplastic conditions with a massive femoral bone loss [2]. The main reasons for major proximal femoral segmental defects or massive bone loss following THA are septic and aseptic loosening, periprosthetic fractures and multiple previous failed reconstructive procedures [3]. Possible treatment options for these patients include:

References

  1. 1.
    Sim FH, Chao EY. Hip salvage by proximal femoral replacement. J Bone Joint Surg Am. 1981;63:1228–39.CrossRefPubMedGoogle Scholar
  2. 2.
    Parvizi J, Sim FH. Proximal femoral replacements with megaprostheses. Clin Orthop Relat Res. 2004;420:169–75.CrossRefGoogle Scholar
  3. 3.
    Boldt JG, Dilawari P, Agarwal S, Drabu KJ. Revision total hip arthroplasty using impaction bone grafting with cemented nonpolished stems and charnley cups. J Arthroplasty. 2001;16:943–52.CrossRefPubMedGoogle Scholar
  4. 4.
    Donati D, Giacomini S, Gozzi E, Mercuri M. Proximal femur reconstruction by an allograft prosthesis composite. Clin Orthop Relat Res. 2002;394:192–200.CrossRefGoogle Scholar
  5. 5.
    Savvidou OD, Mavrogenis AF, Sakellariou V, Christogiannis I, Vottis C, Christodoulou M, Vlasis K, Papagelopoulos PJ. Salvage of failed total hip arthroplasty with proximal femoral replacement. Orthopedics. 2014 Oct;37(10):691–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Parvizi J, Tarity TD, Slenker N, et al. Proximal femoral replacement in patients with non-neoplastic conditions. J Bone Joint Surg Am. 2007;89:1036.CrossRefPubMedGoogle Scholar
  7. 7.
    Korim MT, Esler CNA, Ashford RU. Systematic review of proximal femoral arthroplasty for non-neoplastic conditions. J Arthroplasty. 2014;29:2117–21.CrossRefPubMedGoogle Scholar
  8. 8.
    Parvizi J, Bender B, Sim F. Revision total hip arthroplasty with femoral bone loss: proximal femoral replacement. In: Wiesel SW, editor. Operative techniques in orthopaedic surgery. Philadelphia, PA: Lippincott Williams & Wilkins; 2011. p. 823–30.Google Scholar
  9. 9.
    Allan DG, Lavoie GJ, McDonald S, Oakeshott R, Gross AE. Proximal femoral allografts in revision hip arthroplasty. J Bone Joint Surg Br. 1991;73:235–40.CrossRefPubMedGoogle Scholar
  10. 10.
    Rasouli MR, Porat MD, Hozack WJ, et al. Proximal femoral replacement and allograft prosthesis composite in the treatment of periprosthetic fractures with significant proximal bone loss. Orthop Surg. 2012;4:203.CrossRefPubMedGoogle Scholar
  11. 11.
    Al-Taki MM, Masri BA, Duncan CP, et al. Quality of life following proximal femoral replacement using a modular system in revision THA. Clin Orthop Relat Res. 2011;469:470.CrossRefPubMedGoogle Scholar
  12. 12.
    Gebert C, Wessling M, Götze C, et al. The modular universal tumour and revision system (MUTARS®) in endoprosthetic revision surgery. Int Orthop. 2010;34:1261.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Colman M, Choi L, Chen A, et al. Proximal femoral replacement in the management of acute periprosthetic fractures of the hip: a competing risks survival analysis. J Arthroplasty. 2014;29(2):422–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Dean BJF, Matthews JJ, Price A, et al. Modular endoprosthetic replacement for failed internal fixation of the proximal femur following trauma. Int Orthop. 2012;36:731.CrossRefPubMedGoogle Scholar
  15. 15.
    Malkani AL, Settecerri JJ, Sim FH, et al. Long-term results of proximal femoral replacement for non-neoplastic disorders. J Bone Joint Surg Br. 1995;77:351.CrossRefPubMedGoogle Scholar
  16. 16.
    Bertani A, Helix M, Louis ML, et al. Total hip arthroplasty in severe segmental femoral bone loss situations: use of a reconstruction modular stem design (JVC IX). Retrospective study of 23 cases. Orthop Traumatol Surg Res. 2009;95:491.CrossRefPubMedGoogle Scholar
  17. 17.
    Sewell MD, Hanna SA, Carrington RW, et al. Modular proximal femoral replacement in salvage hip surgery for non-neoplastic conditions. Acta Orthop Belg. 2010;76:493.PubMedGoogle Scholar
  18. 18.
    McLean AL, Patton JT, Moran M. Femoral replacement for salvage of periprosthetic fracture around a total hip replacement. Injury. 2012;43:1166.CrossRefPubMedGoogle Scholar
  19. 19.
    Lundh F, Sayed-Noor AS, Brosjö O, et al. Megaprosthetic reconstruction for periprosthetic or highly comminuted fractures of the hip and knee. Eur J Orthop Surg Traumatol. 2014;24(4):553.CrossRefPubMedGoogle Scholar
  20. 20.
    Haentjens P, De Boeck H, Opdecam P. Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty: complications in a 2-11 year follow-up study in 19 elderly patients. Acta Orthop Scand. 1996;67:37.CrossRefPubMedGoogle Scholar
  21. 21.
    Schoenfeld AJ, Leeson MC, Vrabec GA, et al. Outcomes of modular proximal femoral replacement in the treatment of complex proximal femoral fractures: a case series. Int J Surg. 2008;6:140.CrossRefPubMedGoogle Scholar
  22. 22.
    Shih S-T, Wang J-W, Hsu C-C. Proximal femoral megaprosthesis for failed total hip arthroplasty. Chang Gung Med J. 2007;30(1):73.PubMedGoogle Scholar
  23. 23.
    Johnsson R, Carlsson A, Kisch K, Moritz U, Zetterström R, Persson BM. Function following mega total hip arthroplasty compared with conventional total hip arthroplasty and healthy matched controls. Clin Orthop Relat Res. 1985;192:159–67.Google Scholar
  24. 24.
    Klein GR, Parvizi J, Rapuri V, et al. Proximal femoral replacement for the treatment of periprosthetic fractures. J Bone Joint Surg Am. 2005;87(8):1777–81.PubMedGoogle Scholar
  25. 25.
    Sculco PK, Abdel MP, Lewallen DG. Management of femoral bone loss in revision total hip arthroplasty. Hip Int. 2015;25(4):380–7.CrossRefPubMedGoogle Scholar
  26. 26.
    Amanatullah DF, Siman H, Pallante GD, Haber DB, Sierra RJ, Trousdale RT. Revision total hip arthroplasty after removal of a fractured well-fixed extensively porous-coated femoral component using a trephine. Bone Joint J. 2015;97-B(9):1192–6.CrossRefPubMedGoogle Scholar
  27. 27.
    Amanatullah DF, Trousdale RT, Hanssen AD, Lewallen DG, Taunton MJ. Non-oncologic total femoral arthroplasty: retrospective review. J Arthroplasty. 2014;29(10):2013–5.CrossRefPubMedGoogle Scholar
  28. 28.
    Deirmengian GK, Zmistowski B, O’Neil JT, Hozack WJ. Management of acetabular bone loss in revision total hip arthroplasty. J Bone Joint Surg Am. 2011;93(19):1842–52.CrossRefPubMedGoogle Scholar
  29. 29.
    Hartman CW, Garvin KL. Femoral fixation in revision total hip arthroplasty. J Bone Joint Surg Am. 2011;93(24):2310–22.CrossRefGoogle Scholar
  30. 30.
    Issack PS. Use of porous tantalum for acetabular reconstruction in revision hip arthroplasty. J Bone Joint Surg Am. 2013;95(21):1981–7.CrossRefPubMedGoogle Scholar
  31. 31.
    Wegrzyn J, Tebaa E, Jacquel A, Carret JP, Béjui-Hugues J, Pibarot V. Can dual mobility cups prevent dislocation in all situations after revision total hip arthroplasty? J Arthroplasty. 2015;30(4):631–40. doi: 10.1016/j.arth.2014.10.034. Epub 2014 Nov 10CrossRefPubMedGoogle Scholar
  32. 32.
    Grazioli A, Ek ET, Rüdiger HA. Biomechanical concept and clinical outcome of dual mobility cups. Int Orthop. 2012;36(12):2411–8. doi: 10.1007/s00264-012-1678-3. Epub 2012 Oct 17CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eustathios Kenanidis
    • 1
  • Eleftherios Tsiridis
    • 2
    • 3
  • Anthony Viste
    • 4
    • 5
  • Michael J. Taunton
    • 6
  • Mathew P. Abdel
    • 6
  • Valeriy Murilev
    • 7
  • Yaroslav Rukin
    • 8
  • Rashid Tikhilov
    • 9
  • Georgi I. Wassilew
    • 10
  1. 1.Academic Orthopaedic UnitAristotle University Medical SchoolThessalonikiGreece
  2. 2.Papageorgiou General HospitalPavlos MelasGreece
  3. 3.Aristotle University Medical SchoolThessalonikiGreece
  4. 4.Hospices Civils de Lyon, CHU Lyon SudLyonFrance
  5. 5.Service de Chirurgie Orthopédique et TraumatologiqueLyonFrance
  6. 6.Department of Orthopaedic SurgeryMayo Clinic College of Medicine, Mayo ClinicRochesterUSA
  7. 7.Head Adult Hip and Knee Reconstruction, Department of Botkin HospitalMoscowRussia
  8. 8.Head Adult Hip and Knee Reconstruction, Department of First Sechenov Medical UniversityMoscowRussia
  9. 9.Vreden Russian Research Institute of Traumatology and OrthopedicsSankt-PetersburgRussia
  10. 10.Center for Musculoskeletal Surgery, Orthopaedic DepartmentCharité-Universitätsmedizin BerlinBerlinGermany

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