Skip to main content

Technical Implementation of the Stem Implantation of Modular Revision Stems with Distal Fixation

  • Chapter
  • First Online:
  • 356 Accesses

Abstract

The individual surgical steps regarding implantation of distal fixation modular revision stems are presented in this chapter. In particular, the specifics of different distal fixation principles are discussed, and guidance is given for achieving firm distal fixation of the stem. These are important to avoid three-point fixation of the stem, which can lead to subsidence. In addition, these principles are helpful in minimizing complications such as unintentional fractures.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Paprosky WG, Greidanus NV, Antoniou J. Minimum 10-year-results of extensively porous-coated stems in revision hip arthroplasty. Clin Orthop. 1999;369:230–42.

    Article  Google Scholar 

  2. Weeden SH, Paprosky WG. Minimal 11-year follow-up of extensively porous-coated stems in femoral revision total hip arthroplasty. J Arthroplasty. 2002;17Suppl:134–7.

    Article  Google Scholar 

  3. Mumme T, Müller-Rath R, Andereya S, Wirtz DC. Zementfreier Femurschaftwechsel in der Moularen Revisions Prothese MRP-Titan-Revisionsschaft. Oper Orthop Traumatol. 2007;19:56–77.

    Article  Google Scholar 

  4. Wimmer MD, Randau TM, Deml MC, Ascherl R, Nöth U, Forst R, Gravius N, Wirtz D, Gravius S. Impaction grafting in femur in cementless modular revision total hip arthroplasty: a descriptive outcome analysis of 243 cases with the MRP-titan revision implant. BMC Musculoskelet Disord. 2013;14:19.

    Article  Google Scholar 

  5. Lanting B, Naudie DD, McCalden RW. Clinical impact of trunnion wear after total hip arthroplasty. JBJS Rev. 2016;4:e3.

    Article  Google Scholar 

  6. MacDonald DW, Chen AF, Lee GC, Klein GR, Mont MA, Kurtz SM, Taper Corrosion Writing Committee, Cates HE, Kraay MJ, Rimnac CM. Fretting and corrosion damage in taper adapter sleeves for ceramic heads: a retrieval study. J Arthroplasty. 2017;32:2887–91.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bernd Fink .

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Fink, B. (2022). Technical Implementation of the Stem Implantation of Modular Revision Stems with Distal Fixation. In: Femoral Revision Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-84821-7_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-84821-7_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-84820-0

  • Online ISBN: 978-3-030-84821-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics