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Principles of Cementless Distal Fixation

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Femoral Revision Arthroplasty

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Abstract

There are three different principles associated with distal fixation of revision stems. Scratch fit is a cylinder-in-cylinder fixation in which a cylindrical, coarsely textured stem is placed in a cylindrical fixation bed prepared by cylindrical medullary reamers or broaches. In cone-in-cylinder fixation, a tapered curved stem is implanted into a cylindrical bed prepared by a flexible medullary reamer. In cone-in-cone fixation, a conical bed is prepared in the distal femur by a conical reamer or rasp into which a distal tapered stem is implanted. The lengths and locations of fixation zones depend on a number of factors that include the type of implantation approach (endofemoral or transfemoral), the distal shape of the stem (cylindrical or tapered), the taper of the stem, and the thickness of the cortical bone. In this chapter, the various principles of fixation and the individual characteristics are discussed in detail.

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Authors and Affiliations

  1. Orthopaedic Clinic Markgröningen, Markgröningen, Baden-Württemberg, Germany

    Bernd Fink

  2. Orthopaedic Department, University-Hospital Hamburg-Eppendorf, Hamburg, Germany

    Bernd Fink

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  1. Bernd Fink
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Correspondence to Bernd Fink .

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Fink, B. (2022). Principles of Cementless Distal Fixation. In: Femoral Revision Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-84821-7_7

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  • DOI: https://doi.org/10.1007/978-3-030-84821-7_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-84820-0

  • Online ISBN: 978-3-030-84821-7

  • eBook Packages: MedicineMedicine (R0)

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