Skip to main content

Cemented Revision Stems

  • 78 Accesses

Abstract

A cemented fixation of a stem in revision procedures can involve the cementation of a normal standard stem or a longer revision stem, cement-in-cement revision with an intact cement mantle, or impaction grafting for cavitary defects. Smooth sclerotic walls of the femur in a revision scenario reduce the quality of interdigitation of the cement and thus the survival time of such revisions. The various methodologies are discussed in detail in this chapter with regard to underlying principles, surgical techniques, and outcomes.

Keywords

  • Revision stem
  • Cemented
  • Impaction grafting
  • Cement-in-cement

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-030-84821-7_5
  • Chapter length: 14 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   149.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-84821-7
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Hardcover Book
USD   199.99
Price excludes VAT (USA)
Fig. 5.1
Fig. 5.2
Fig. 5.3
Fig. 5.4
Fig. 5.5
Fig. 5.6
Fig. 5.7

References

  1. Crawford SA, Siney PD, Wroblewsky BM. Revision of failed total hip arthroplasty with a proximal femoral modular cemented stem. J Bone Joint Surg Br. 2000;82-B:684–8.

    Google Scholar 

  2. Dohmae Y, Bechthold JE, Sherman RE, Puno RM, Gustilo RB. Reduction in cement-bone interface shear strength between primary and revision arthroplasty. Clin Orthop Relat Res. 1988;(236):214–220.

    Google Scholar 

  3. Wirtz DC, Niethard FU. Ursachen, Diagnostik und Therapie der aseptischen Hüftendoprothesenlockerung—eine Standortbestimmung. Z Orthop. 1997;135:270–80.

    CAS  PubMed  Google Scholar 

  4. Weiss RJ, Stark A, Kärrholm J. A modular cementless stem vs. cemented long-stem prostheses in revision surgery of the hip. A population-based study from the Swedish Arthroplasty Register. Acta Orthop. 2011;82:136–42.

    PubMed  PubMed Central  Google Scholar 

  5. Te Stroet MAJ, Rijnen WHC, Gardeniers WM, Van Kampen A, Scheures BW. Medium-term follow-up of 92 femoral component revisions using a third-generation cementing technique. Acta Orthop. 2016;87:106–12.

    Google Scholar 

  6. So K, Kuroda Y, Matsuda S, Akiyama H. Revision total hip replacement with a cemented long femoral component: minimum 9-year follow-up results. Arch Orthop Trauma Surg. 2013;133:869–74.

    PubMed  Google Scholar 

  7. Estok II DM, Harris WH. Long-term results of cemented femoral revision surgery using second-generation techniques. Clin Orthop Relat Res. 1994;(299):180–202.

    Google Scholar 

  8. Haentjens P, De Boeck H, Opdecam P. Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty. Acta Orthop Scand. 1996;67:37–42.

    CAS  PubMed  Google Scholar 

  9. Iorio R, Eftekhar NS, Kobayashi S, Greisamer RP. Cemented revision of failed total hip arthroplasty. Clin Orthop Relat Res. 1995;(316):121–130.

    Google Scholar 

  10. Izquierdo RJ, Northmore-Ball MD. Long-term results of revision hip arthroplasty. J Bone Joint Surg Br. 1994;76-B:34–9.

    Google Scholar 

  11. Katz RP, Callaghan JJ, Sullivan PM, Johnston RC. Results of cemented femoral revision total hip arthroplasty using improved cementing techniques. Clin Orthop Relat Res. 1995;(319):178–183.

    Google Scholar 

  12. Katz RP, Callaghan JJ, Sullivan PM, Johnston RC. Long-term results of revision total hip arthroplasty with improved cementing technique. J Bone Joint Surg Br. 1997;79-A:322–6.

    Google Scholar 

  13. Kershaw CJ, Atkins RM, Dodd CAF, Bulstrode CJK. Revision total hip arthroplasty for aseptic failure. J Bone Joint Surg Br. 1991;73-B:564–8.

    Google Scholar 

  14. Meding JB, Ritter MA, Keating EM, et al. Impaction bone-grafting before insertion of a femoral stem with cement in revision total hip arthroplasty: a minimum two-year follow-up study. J Bone Joint Surg Am. 1997;79-A:1834–41.

    Google Scholar 

  15. Mulroy WF, Harris WH. Revision total hip arthroplasty with use of so-called second generation cementing techniques for aseptic loosening of the femoral component. J Bone Joint Surg Am. 1996;78-A:325–30.

    Google Scholar 

  16. Pierson JL, Harris WH. Cemented revision for femoral osteolysis in cemented arthroplasties. J Bone Joint Surg Br. 1994;76-B:40–4.

    Google Scholar 

  17. Raut VV, Siney PD, Wroblewski BM. Outcome of revision for mechanical stem failure using the cemented Charnley’s stem. A study of 399 cases. J Arthroplasty. 2006;11:405–10.

    Google Scholar 

  18. Gramkow J, Jensen TH, Varmarken JE, Retpen JB. Long-term results after cemented revision of the femoral component in total hip arthroplasty. J Arthroplasty. 2001;16:777–83.

    CAS  PubMed  Google Scholar 

  19. Haydon CM, Mehin R, Burnett S, Rorabeck CH, Bourne RB, McCalden RW, Mac Donald SJ. Revision total hip arthroplasty with use of a cemented femoral component. Results at a mean of ten years. J Bone Joint Surg Am. 2004;86-A:1179–85.

    Google Scholar 

  20. Howie DW, Wimhurst JA, McGee MA, Carbone TA, Badaruddin BS. Revision total hip replacement using cemented collarless double-taper femoral components. J Bone Joint Surg Br. 2007;89-B:879–86.

    Google Scholar 

  21. Cross M, Broström M. Cement mantle retention: filling the hole. Orthopedics. 2009;32.

    Google Scholar 

  22. Holt G, Hook S, Hubble M. Revision total hip arthroplasty: the femoral side using cemented implants. Int Orthop. 2011;35:267–73.

    PubMed  Google Scholar 

  23. Greenwald AS, Narten NC, Wilde AH. Points in the technique of recementing in the revision of an implant arthroplasty. J Bone Joint Surg Br. 1978;60-B:107–10.

    Google Scholar 

  24. Weinrauch PC, Bell C, Wilson L, Goss B, Lutton C, Crawford RW. Shear properties of bilinear polymethylmethacrylate cement mantles in revision hip arthroplasty. J Arthroplasty. 2007;22:394–403.

    PubMed  Google Scholar 

  25. Li PLS, Ingle PJ, Dowell JK. Cement-within-cement revision hip arthroplasty; should it be done? J Bone Joint Surg Br. 1996;78-B:809–11.

    Google Scholar 

  26. Holsgrove TP, Pentlow A, Spencer RF, Miles AW. Cement brand and preparation effects cement-in-cement mantle shear strength. Hip Int. 2015;25:67–71.

    PubMed  Google Scholar 

  27. Rudol G, Wilcox R, Jin Z, Tsiridis E. The effect of surface finish and interstitial fluid on the cement-in-cement interface in revision surgery of the hip. J Bone Joint Surg Br. 2011;93-B:188–93.

    Google Scholar 

  28. Liddle A, Webb M, Clement N, Green S, Liddle J, German M, Holland J. Ultrasonic cement removal in cement-in-cement revision total hip arthroplasty. What is the effect on the final cement-in-cement bond? Bone Joint Res. 2019;8:246–52.

    CAS  PubMed  PubMed Central  Google Scholar 

  29. Rosenstein A, MacDonald W, Iliadis A, McLandy-Smith P. Revision of cemented fixation and cement-bone interface strength. Proc Inst Mech Eng H. 1992;206:47–9.

    CAS  PubMed  Google Scholar 

  30. Keeling P, Lennon AB, Kenny PJ, O’Reilly P, Prendergast PJ. The mechanical effect of the existing cement mantle on the in-cement femoral revision. Clin Biomech (Bristol, Avon). 2012;27:673–9.

    Google Scholar 

  31. Duncan WW, Hubble MJW, Howell JR, Whitehouse SL, Timperley AJ, Gie FA. Revision of the femoral stem using a cement-in-cement technique: a five- to 15-year review. J Bone Joint Surg Br. 2009;91-B:577–82.

    Google Scholar 

  32. Lieberman JR, Moeckel BH, Evans BG, Salvati EA, Ranawat CS. Cement-within-cement revision hip arthroplasty. J Bone Joint Surg Br. 1993;75-B:869–71.

    Google Scholar 

  33. Archibald DAA, Protheroe K, Stother IG, Campbell A. A simple technique for acetabular revision: brief report. J Bone Joint Surg Br. 1985;70-B:838.

    Google Scholar 

  34. McCallum JD, Hozack WJ. Recementing a femoral component into a stable cement mantle using ultrasonic tools. Clin Orthop Relat Res. 1995;(319):232–237.

    Google Scholar 

  35. Marcos L, Buttaro M, Comba F, Piccaluga F. Femoral cement within cement technique in carefully selected aseptic revision arthroplasties. Int Orthop. 2009;33:633–7.

    PubMed  Google Scholar 

  36. Cnudde PHJ, Kärrholm J, Rolfson O, Timperley AJ, Mohaddes M. Cement-in-cement revision of the femoral stem. Analysis of 1179 first-time revisions in the Swedish Hip Arthroplasty Register. Bone Joint J. 2017;99-B(4 Suppl B):27–32.

    CAS  PubMed  Google Scholar 

  37. Sandiford NA, Jameson SS, Wilson MJ, Hubble MJ, Timperley AJ, Howell JR. Cement-in-cement femoral component revision in the multiply revised total hip arthroplasty: results with a minimum follow-up of five years. Bone Joint J. 2017;99-B:199–203.

    CAS  PubMed  Google Scholar 

  38. Young J, Vallsmshetla VR, Lawrence T. The polished tri-tapered stem for cement-in-cement revision arthroplasty, a reliable and reproducible technique? Hip Int. 2008;18:272–7.

    CAS  PubMed  Google Scholar 

  39. Goto K, Kawanabe K, Akiyama H, Horimoto T, Nakamura T. Clinical and radiological evaluation of revision hip arthroplasty using the cement-in-cement technique. J Bone Joint Surg Br. 2008;90-B:1013–8.

    Google Scholar 

  40. Te Stroet MA, Moret-Wever SG, de Kam DC, Gardeniers JW, Schreurs BW. Cement-in-cement femoral revisions using a specially designed polished short revision stem; 24 consecutive stems followed for five to seven years. Hip Int. 2014;24:428–33.

    Google Scholar 

  41. Stefanovich-Lawbuary NS, Parry MC, Whitehous MR, Blom AW. Cement in cement revision of the femoral component using a collarless triple taper: a midterm clinical and radiographic assessment. J Arthroplasty. 2014;29:2002–6.

    PubMed  Google Scholar 

  42. Mounsey EJ, Williams DH, Howell JR, Hubble MJ. Revision of hemiarthroplasty to total hip arthroplasty using the cement-in-cement technique. Bone Joint J. 2015;97-B:1623–7.

    CAS  PubMed  Google Scholar 

  43. Okuzu Y, Goto K, So K, Kuroda Y, Marsuda S. Mid- and long-term results of femoral component revision using the cement-in-cement technique: average 10.8-year follow-up study. J Orthop Sci. 2016;21:810–4.

    PubMed  Google Scholar 

  44. Amanatullah DF, Pallante GD, Floccari LV, Vasileiadis GI, Trousdale RT. Revision total hip arthroplasty using the cement-in-cement technique. Orthopedics. 2017;40:e348–51.

    PubMed  Google Scholar 

  45. Kumar A, Porter M, Shah N, Gaba C, Siney P. Outcomes of cement in cement revision, in revision total hip arthroplasty. Open Access Maced J Med Sci. 2019;15(7):4059–65.

    Google Scholar 

  46. Woodbridge AB, Hubble MJ, Whitehouse SL, Wilson MJ, Howell JR, Timperley AJ. The Exeter short revision stem for cement-in-cement femoral revision: a five to twelve year review. J Arthroplasty. 2019;34:S297–301.

    PubMed  Google Scholar 

  47. Berg AJ, Hoyle A, Yates E, Chougle A, Mohan R. Cement-in-cement revision with the Exeter short revision stem: a review of 50 consecutive hips. J Clin Orthop Trauma. 2020;11:47–55.

    PubMed  Google Scholar 

  48. Gie GA, Liner L, Ling RS, et al. Contained morselized allograft in revision total hp arthroplasty. Surgical technique. Orthop Clin North Am. 1993;24:717–25.

    CAS  PubMed  Google Scholar 

  49. Nelissen RG, Bauer TW, Weidenhielm LR, et al. Revision hip arthroplasty with the use of cement and impaction grafting: histological analysis of four cases. J Bone Joint Surg Am. 1995;77-A:412–22.

    Google Scholar 

  50. Board TN, Rooney P, Kearney JN, Kay PR. Impaction allografting in revision total hip replacement. J Bone Joint Surg Br. 2006;88-B:852–7.

    Google Scholar 

  51. Wang JS, Aspenberg P. Load-bearing increases new bone formation in impacted and morselized allografts. Clin Orthop Relat Res. 2000;(378):274–281.

    Google Scholar 

  52. Te Stroet MAJ, Rijen WHC, Gardeniers JWM, van Kampen A, Schreurs BW. The outcome of femoral component revision arthroplasty with impaction allograft bone grafting and a cemented polished Exeter stem. A prospective cohort study of 208 revision arthroplasties with a mean follow-up of ten years. Bone Joint J. 2015;5:771–9.

    Google Scholar 

  53. Ullmark G, Obrant KJ. Histology of impacted bone-graft incorporation. J Arthroplasty. 2002;17:150–7.

    CAS  PubMed  Google Scholar 

  54. Bolder SB, Schreurs BW, Verdonschot N, et al. Particle size of bone graft and method of impaction affect initial stability of cemented cups. Human cadaveric and synthetic pelvic specimen studies. Acta Orthop Scand. 2003;74:652–7.

    PubMed  Google Scholar 

  55. Eldridge JDJ, Hubble K, Nelson K, Smith EJ, Learmonth ID. The effect of bone chip size on initial stability following femoral impaction grafting. J Bone Joint Surg Br. 1997;79-B(Suppl III):364.

    Google Scholar 

  56. Wallace IW, Ammon PR, Day R, Lee DA, Beaver RJ. Does size matter? An investigation into the effects of particle size on impaction grafting in vitro. J Bone Joint Surg Br. 1997;79-B(Suppl III):366.

    Google Scholar 

  57. Brewster NT, Gillespie WJ, Howie CR, et al. Mechanical considerations in impaction bone grafting. J Bone Joint Surg Br. 1999;81-B:118–24.

    Google Scholar 

  58. Craig RF. Soil mechanics. 7th ed. London: Son Press; 2004.

    Google Scholar 

  59. Dunlop DG, Brewster NT, Madabhushi SP, et al. Techniques to improve the shear strength of impacted bone graft: the effect of particle size and washing of the graft. J Bone Joint Surg Am. 2003;85-A:639–46.

    Google Scholar 

  60. Hostner J, Hultmark P, Karrholm J, Malchau H, Tveit M. Impaction technique and graft treatment in revisions of the femoral component: laboratory studies and clinical validation. J Arthroplasty. 2001;16:76–82.

    CAS  PubMed  Google Scholar 

  61. Bos GD, Goldberg VM, Gordon NH et al. The long-term fate of fresh and frozen orthotopic bone allografts in genetically defined rats. Clin Orthop Relat Res. 1985;(197):245–254.

    Google Scholar 

  62. Burchardt H. The biology of bone graft repair. Clin Orthop Relat Res. 1983;(174):28–42.

    Google Scholar 

  63. Czitrom AA, Axelrod T, Fernandes B. Antigen presenting cells and bone allotransplantation. Clin Orthop Relat Res. 1985;(197):27–31.

    Google Scholar 

  64. Bavedekar A, Cornu O, Godits B, et al. Stiffness and compactness of morselized graft during impaction: an in vitro study with human femoral heads. Acta Orthop Scand. 2001;72:470–6.

    Google Scholar 

  65. Ten Have BL, Brower RW, van Biezen FC, Verhaar JA. Femoral revision surgery with impaction bone grafting. 31 hips followed prospectively for 10 to 15 years. J Bone Joint Surg Br. 2012;94-B:615–8.

    Google Scholar 

  66. Van der Donk S, Buma P, Slooff TJ, Gardeniers JW, Schreurs BW. Incorporation of morselized bone grafts: a study of 24 acetabular biopsy specimens. Clin Orthop Relat Res. 2002;(396):131–141.

    Google Scholar 

  67. Linder L. Cancellous impaction grafting in the human femur: histological and radiographic observations in 6 autopsy femurs and 8 biopsies. Acta Orthop Scand. 2000;71:543–52.

    CAS  PubMed  Google Scholar 

  68. Morgan HA, McCallister W, Cho MS, Casnelli MT, Leopold SS. Impaction allografting for femoral component revision. Clinical update. Clin Orthop Relat Res. 2004;420:160–8.

    Google Scholar 

  69. Gehrke T, Gebsuer M, Kendoff D. Femoral stem impaction grafting: extending the role of cement. Bone Joint J. 2013;95-B(11 Suppl A):92–4.

    CAS  PubMed  Google Scholar 

  70. Masterson EL, Masri BA, Duncan CP, et al. The cement mantle in femoral impaction allografting: a comparison of three systems from four centres. J Bone Joint Surg Br. 1997;79-B:908–13.

    Google Scholar 

  71. Lamberton TD, Kenny PJ, Whitehous SL, Timperley AJ, Gie GA. Femoral impaction grafting in revision total hip arthroplasty: a follow-up of 540 hips. J Arthroplasty. 2011;26:1154–60.

    PubMed  Google Scholar 

  72. Wilson MJ, Hook S, Whitehaous SL, Timperley AJ, Gie GA. Femoral impaction bone grafting in revision hip arthroplasty: 705 cases from the originating centre. Bone Joint J. 2016;98-B:1611–9.

    CAS  PubMed  Google Scholar 

  73. Ornstein E, Atroshi I, Fenzén H, et al. Early complications after one hundred and forty-four consecutive hip revisions with impacted morselized allograft bone and cement. J Bone Joint Surg Am. 2002;84-A:1323–8.

    Google Scholar 

  74. Ornstein E, Linder L, Ranstam J, Lewold S, Eisler T, Torper M. Femoral impaction bone grating with the Exeter stem—the Swedish experience. Survivorship analysis of 1305 revisions performed between 1989 and 2002. J Bone Joint Surg Br. 2009;91-B:441–6.

    Google Scholar 

  75. Garcia-Cimbrelo E, Garcia-Rey E, Cruz-Paros A. The extent of the bone defect affects the outcome of femoral reconstruction in revision surgery with impaction grafting: a five- to 17-year follow-up study. J Bone Joint Surg Br. 2011;93-B:1457–64.

    Google Scholar 

  76. Garvin KL, Konigsberg BS, Ommen ND, Lyden ER. What is the long-term survival of impaction allografting of the femur? Clin Orthop Relat Res. 2013;471:3901–11.

    PubMed  PubMed Central  Google Scholar 

  77. Wraighte PJ, Howard PW. Femoral impaction bone allografting with an Exeter cemented collarless, polished, tapered stem in revision hip replacement. A mean follow-up of 10.5 years. J Bone Joint Surg Br. 2008;90-B:1000–4.

    Google Scholar 

  78. Leopold SS, Berger RA, Rosenberg AG, Joacobs JJ, Qugley LR, Galante J, et al. Impaction allografting with cement for revision of the femoral component: a minimum 4-year follow-up study with use of a precoated femoral stem. J Bone Joint Surg Am. 1999;81-A:1092.

    Google Scholar 

  79. Ling RS, Timperley AJ, Linder L. Histology of cancellous impaction grafting in the femur: a case report. J Bone Joint Surg Br. 1993;75-B:693–6.

    Google Scholar 

  80. Masterton EL, Busch CA, Duncan CP, Drabu K. Impaction allografting on the proximal femur using a Charnley-type stem: a cement mantle analysis. J Arthroplasty. 1999;14:59–63.

    Google Scholar 

  81. Van Doorn WJ, Ten HB, van Biezen FC, ,et al: Migration of the femoral stem after impaction bone grafting: first results of an ongoing, randomised study of the Exeter and elite plus femoral stems using radiostereometric analysis. J Bone Joint Surg Br 2002;84-B:825–831.

    Google Scholar 

  82. Francés A, Moro E, Cebrian JL, Marco F, Garcia-López S, López-Durán L. Reconstruction of bone defects with impacted allograft in femoral stem revision surgery. Int Orthop. 2007;31:457–63.

    PubMed  PubMed Central  Google Scholar 

  83. Sierra RJ, Charity J, Tsiridis E, Timperley JA, Gie GA. The use of long cemented stems for femoral impaction grafting in revision total hip arthroplasty. J Bone Joint Surg Am. 2008;90-A:1330–6.

    Google Scholar 

  84. Maurer SG, Baitner AC, Di Cesare PE. Reconstruction of the failed femoral component and proximal femoral bone loss in revision hip surgery. J Am Acad Orthop Surg. 2000;8:354–63.

    CAS  PubMed  Google Scholar 

  85. Pekkarinen J, Alho A, Lepisto J, et al. Impaction bone grafting in revision hip surgery: a high incidence of complications. J Bone Joint Surg Br. 2000;82-B:103–7.

    Google Scholar 

  86. Elting JJ, Mikhail WE, Zicat BA, et al. Preliminary report of impaction grafting for exchange femoral arthroplasty. Clin Orthop Relat Res. 1995;(319):159–167.

    Google Scholar 

  87. Flugsrud GB, Ovre S, Grogaard B, et al. Cemented femoral impaction bone grafting for severe osteolysis in revision hip arthroplasty: good results at 4-year follow-up of 10 patients. Arch Orthop Trauma Surg. 2000;120:386–9.

    CAS  PubMed  Google Scholar 

  88. Knight JL, Helming C. Collarless polished tapered impaction grafting of the femur during revision total hip arthroplasty: pitfalls of the surgical technique and follow-up of 31 cases. J Arthroplasty. 2000;15:159–65.

    CAS  PubMed  Google Scholar 

  89. Lind M, Krarup N, Mikkelsen S, et al. Exchange impaction allografting for femoral revision hip arthroplasty: results in 87 cases after 3.6 years follow-up. J Arthroplasty. 2002;17:158–64.

    PubMed  Google Scholar 

  90. Mikhail WE, Wretenberg PF, Weidenhielm LR, et al. Complex cemented revision using polished stem and morselized allograft: minimum 5-years follow-up. Arch Orthop Trauma Surg. 1999;119:288–91.

    CAS  PubMed  Google Scholar 

  91. Van Biezen FC, Ten HB, Verhaar JA. Impaction bone-grafting of severely defective femora in revision total hip surgery: 21 hips followed for 41-85 months. Acta Orthop Scand. 2000;71:135–42.

    PubMed  Google Scholar 

  92. Boldt JG, Dilawari P, Agarwal S, et al. Revision total hip arthroplasty using impaction bone grafting with cemented nonpolished stems and Charnley cps. J Arthroplasty. 2001;16:943–52.

    CAS  PubMed  Google Scholar 

  93. Fetzer GB, Callaghan JJ, Templeton JE, et al. Impaction allografting with cement for extensive femoral bone loss in revision hip surgery: a 4- to 8-year follow-up study. J Arthroplasty. 2001;16:195–202.

    CAS  PubMed  Google Scholar 

  94. Karrholm J, Hulmark P, Carlsson L, et al. Subsidence of a non-polished stem in revision of the hip using impaction allograft. Evaluation with radiostereometry and dual-energy X-ray absorptiometry. J Bone Joint Surg Br. 1999;81-B:135–42.

    Google Scholar 

  95. Piccaluga F, Gonzáles Della Valle A, Encinas Fernández JC, Pusso R. Revision of the femoral prosthesis with impaction allografting and a Charnley stem. A 2- to 12 year. J Bone Joint Surg Br. 2002;84-B:544–9.

    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

Verify currency and authenticity via CrossMark

Cite this chapter

Fink, B. (2022). Cemented Revision Stems. In: Femoral Revision Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-84821-7_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-84821-7_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-84820-0

  • Online ISBN: 978-3-030-84821-7

  • eBook Packages: MedicineMedicine (R0)