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Proximal Porous Coated Modular Metaphyseal Stems in Primary and Revision THA

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Hip Arthroplasty

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Abstract

Proximal femur has a variable anatomy and anatomical reconstruction during total hip replacement is always a challenge. With good preoperative planning and meticulous intraoperative techniques, it is possible to achieve a stable long-lasting fixation with restoration of length offset and version with a standard femoral prosthesis. But modularity might be required in complex situations like hip dysplasia, post septic sequalae, post perthes disease with secondary arthritis and post osteotomy. SROM stem is a proximal porous coated modular stem which allows modularity in metaphyseal fixation, version, offset, length and allows subtrochanteric shortening osteotomy. It can also be used in revision situation with minimal bone loss in the metaphysis thereby preserving the diaphysis for future revision in young patients. In these selective indications, they provide excellent, durable clinical and radiological outcome.

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References

  1. Bono JV. S-ROM modular total hip replacement. Oper Tech Orthop. 2001;11(4):279–87. https://doi.org/10.1016/S1048-6666(01)80043-4.

    Article  Google Scholar 

  2. Mertl P, Dehl M. Femoral stem modularity. Orthop Traumatol Surg Res. 2020;106(1):S35–42. https://doi.org/10.1016/j.otsr.2019.05.019.

    Article  PubMed  Google Scholar 

  3. Spitzer AI. The S-ROM cementless femoral stem: history and literature review. Orthopedics. 2005;28(Suppl. 9):s1117–24.

    PubMed  Google Scholar 

  4. Buly R. The S-ROM stem: versatility of stem/sleeve combinations and head options. Orthopedics. 2005;28(9):S1025.

    Article  PubMed  Google Scholar 

  5. Biant LC, Bruce WJM, Assini JB, Walker PM, Walsh WR. The anatomically difficult primary total hip replacement: medium- to long-term results using a cementless modular stem. J Bone Joint Surg. 2008;90-B(4):430–5. https://doi.org/10.1302/0301-620X.90B4.19718.

    Article  Google Scholar 

  6. Bolognesi MP, Pietrobon R, Clifford PE, Vail TP. Comparison of a hydroxyapatite-coated sleeve and a porous-coated sleeve with a modular revision hip stem: a prospective, randomized study. J Bone Joint Surg Am Vol. 2004;86(12):2720–5. https://doi.org/10.2106/00004623-200412000-00020.

    Article  Google Scholar 

  7. Tudor FS, Donaldson JR, Rodriguez-Elizalde SR, Cameron HU. Long-term comparison of porous versus hydroxyapatite coated sleeve of a modular cementless femoral stem (SROM) in primary total hip arthroplasty. J Arthroplast. 2015;30(10):1777–80. https://doi.org/10.1016/j.arth.2015.04.031.

    Article  Google Scholar 

  8. Ohl MD, Whiteside LA, Mccarthy DS, White SE. Torsional fixation of a modular femoral hip component. Clin Orthop Relat Res. 1993;287:135–41. https://doi.org/10.1097/00003086-199302000-00022.

    Article  Google Scholar 

  9. Tamegai H, Otani T, Fujii H, Kawaguchi Y, Hayama T, Marumo K. A modified S-ROM stem in primary total hip arthroplasty for developmental dysplasia of the hip. J Arthroplast. 2013;28(10):1741–5. https://doi.org/10.1016/j.arth.2013.04.041.

    Article  Google Scholar 

  10. Takahashi K, Shimizu T, Asano T, Terkawi MA, Iwasaki N, Takahashi D. Long-term clinical and radiological outcomes of primary Total hip arthroplasty with modular femoral stem in middle-aged Asian patients. J Arthroplast. 2020;35(12):3650–5. https://doi.org/10.1016/j.arth.2020.06.079.

    Article  Google Scholar 

  11. S-ROM Modular Hip System Surgical Technique.pdf- http://synthes.vo.llnwd.net/.

  12. Liu T, Yang Y, Shen X, Xiao J, Zuo J, Gao Z. Comparison of two different on-shelf femoral stems for Crowe type IV developmental dysplasia of the hip. J Int Med Res. 2020;48(8):030006052094788. https://doi.org/10.1177/0300060520947888.

    Article  CAS  Google Scholar 

  13. Park C-W, Lim S-J, Park Y-S. Modular stems: advantages and current role in primary total hip arthroplasty. Hip Pelvis. 2018;30(3):147. https://doi.org/10.5371/hp.2018.30.3.147.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Liu T, Wang S, Huang G, Wang W. Treatment of Crowe IV developmental dysplasia of the hip with cementless total hip arthroplasty and shortening subtrochanteric osteotomy. J Int Med Res. 2019;47(7):3223–33. https://doi.org/10.1177/0300060519853383.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Çatma MF, Ünlü S, Öztürk A, Aksekili AM, Ersan Ö, Ateş Y. Femoral shortening osteotomy in total hip arthroplasty for severe dysplasia: a comparison of two fixation techniques. Int Orthop (SICOT). 2016;40(11):2271–6. https://doi.org/10.1007/s00264-016-3144-0.

    Article  Google Scholar 

  16. Li L, Yu M, Yang C, Gu G. Total hip arthroplasty (S-ROM stem) and subtrochanteric osteotomy for Crowe type IV developmental dysplasia of the hip. Indian J Orthop. 2016;50(2):195. https://doi.org/10.4103/0019-5413.177575.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Ma HY, Lu Q, Sun JY, Du YQ, Shen JM, Gao ZS, Lu SB, Zhou YG. One-stage total hip arthroplasty with modular S-ROM stem for patients with bilateral Crowe type IV developmental dysplasia. Orthop Surg. 2020;12(6):1913–22.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Yang Y, Yu Q, Wang S, et al. Outcomes after total hip arthroplasty using a cementless S-ROM modular stem for patients with high hip dislocation secondary to hip pyogenic arthritis. Orthop Surg. 2019;11(3):460–6. https://doi.org/10.1111/os.12485.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Takao M, Ohzono K, Nishii T, Miki H, Nakamura N, Sugano N. Cementless modular total hip arthroplasty with subtrochanteric shortening osteotomy for hips with developmental dysplasia. J Bone Joint Surg Am Vol. 2011;93(6):548–55. https://doi.org/10.2106/JBJS.I.01619.

    Article  Google Scholar 

  20. McCarthy JC, Lee J. Complex revision Total hip arthroplasty with modular stems at a mean of 14 years. Clin Orthop Rel Res. 2007;465:166–9. https://doi.org/10.1097/BLO.0b013e318159cb97.

    Article  Google Scholar 

  21. Biant LC, Bruce WJM, Assini JB, Walker PM, Walsh WR. Primary total hip arthroplasty in severe developmental dysplasia of the hip. Ten-year results using a cementless modular stem. J Arthroplast. 2009;24(1):27–32. https://doi.org/10.1016/j.arth.2007.12.016.

    Article  Google Scholar 

  22. Drexler M, Dwyer T, Marmor M, et al. Nineteen year results of THA using modular 9 mm S-ROM femoral component in patients with small femoral canals. J Arthroplast. 2013;28(9):1667–70. https://doi.org/10.1016/j.arth.2013.03.010.

    Article  Google Scholar 

  23. Zeng W-N, Liu J-L, Wang F-Y, et al. Total hip arthroplasty for patients with Crowe type IV developmental dysplasia of the hip: ten years results. Int J Surg. 2017;42:17–21. https://doi.org/10.1016/j.ijsu.2017.04.029.

    Article  PubMed  Google Scholar 

  24. Talmo CT, Bono JV. Treatment of intertrochanteric nonunion of the proximal femur using the S-ROM prosthesis. Orthopedics. 2008;31(2):1–6. https://doi.org/10.3928/01477447-20080201-35.

    Article  Google Scholar 

  25. Lim S-J, Moon Y-W, Eun S-S, Park Y-S. Total hip arthroplasty using the S-ROM modular stem after joint-preserving procedures for osteonecrosis of the femoral head. J Arthroplast. 2008;23(4):495–501. https://doi.org/10.1016/j.arth.2007.05.026.

    Article  Google Scholar 

  26. Kong X, Chai W, Yang M, et al. Modular stem in total hip arthroplasty for patients with trochanter valgus deformity: surgical technique and case series. BMC Musculoskelet Disord. 2020;21(1):124. https://doi.org/10.1186/s12891-020-3145-4.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Moreta J, Uriarte I, Foruria X, et al. Medium-term outcomes of the S-ROM modular femoral stem in revision hip replacement. Eur J Orthop Surg Traumatol. 2018;28(7):1327–34. https://doi.org/10.1007/s00590-018-2213-z.

    Article  PubMed  Google Scholar 

  28. Christie MJ, Deboer DK, Trick LW, et al. Primary Total hip arthroplasty with use of the modular S-ROM prosthesis. Four to seven-year clinical and radiographic results. J Bone Joint Surg. 1999;81(12):1707–16. https://doi.org/10.2106/00004623-199912000-00008.

    Article  CAS  PubMed  Google Scholar 

  29. Cameron HU, Keppler L, McTighe T. The role of modularity in primary total hip arthroplasty. J Arthroplast. 2006;21(4):89–92. https://doi.org/10.1016/j.arth.2006.02.085.

    Article  Google Scholar 

  30. Imbuldeniya AM, Walter WK, Zicat BA, Walter WL. The S-ROM hydroxyapatite proximally-coated modular femoral stem in revision hip replacement: results of 397 hips at a minimum ten-year follow-up. Bone Joint J. 2014;96-B(6):730–6. https://doi.org/10.1302/0301-620X.96B6.33381.

    Article  CAS  PubMed  Google Scholar 

  31. Parisi T, Burroughs B, Kwon Y-M. Modular hip implant fracture at the stem-sleeve Interface. Orthopedics. 2015;38(3):e234–9. https://doi.org/10.3928/01477447-20150305-91.

    Article  PubMed  Google Scholar 

  32. Patel A, Bliss J, Calfee RP, Froehlich J, Limbird R. Modular femoral stem-sleeve junction failure after primary total hip arthroplasty. J Arthroplast. 2009;24(7):1143.e1–5. https://doi.org/10.1016/j.arth.2008.09.006.

    Article  Google Scholar 

  33. Le D, Smith K, Tanzer D, Tanzer M. Modular femoral sleeve and stem implant provides long-term total hip survivorship. Clin Orthop Rel Res. 2011;469(2):508–13. https://doi.org/10.1007/s11999-010-1524-0.

    Article  Google Scholar 

  34. Rosenthall L, Bobyn JD, Tanzer M. Bone densitometry: influence of prosthetic design and hydroxyapatite coating on regional adaptive bone remodeling. Int Orthop. 1999;23(6):325–9. https://doi.org/10.1007/s002640050383.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Chandler HP, Ayres DK, Tan RC, Anderson LC, Varma AK. Revision total hip replacement using the S-ROM femoral component. Clin Orthop Relat Res. 1995;319:130–40.

    Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

    Dhanasekararaja Palanisami, Soundar Dhanasekaran, Rajkumar Natesan & Rajasekaran Shanmuganathan

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  1. Dhanasekararaja Palanisami
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  2. Soundar Dhanasekaran
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  3. Rajkumar Natesan
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  4. Rajasekaran Shanmuganathan
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Editors and Affiliations

  1. Head of Orthopedics and Joint Replacement, Amrita Institute of Medical Sciences Amrita Vishwavidyapeetham, Faridabad, India

    Mrinal Sharma

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Palanisami, D., Dhanasekaran, S., Natesan, R., Shanmuganathan, R. (2023). Proximal Porous Coated Modular Metaphyseal Stems in Primary and Revision THA. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_56

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  • DOI: https://doi.org/10.1007/978-981-99-5517-6_56

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  • Online ISBN: 978-981-99-5517-6

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