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Removal of the Old Stem

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Abstract

The removal of firmly fixed prosthesis stems is a special challenge for the surgeon. It may be indicated in cases of a periprosthetic late infection, broken stems, old monoblock prostheses with a tendency to dislocate, incorrect positioning of the stem, and a clearly damaged cone of the prosthesis neck. Depending on the fixation and design of the stem and the shape of the femur, different techniques for stem removal are possible, which are discussed in detail in this chapter with their advantages and disadvantages. In difficult situations, we prefer the transfemoral approach, as it allows an effective removal of the stem while avoiding unintentional fractures or damage to the musculature.

Keywords

  • Femoral revision
  • Removal
  • Implant
  • Extended trochanteric osteotomy

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  • DOI: 10.1007/978-3-030-84821-7_13
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Correspondence to Bernd Fink .

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Fink, B. (2022). Removal of the Old Stem. In: Femoral Revision Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-84821-7_13

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  • DOI: https://doi.org/10.1007/978-3-030-84821-7_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-84820-0

  • Online ISBN: 978-3-030-84821-7

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