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Extensively Porous Coated Stems in Revision Total Hip Arthroplasty

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Hip Arthroplasty

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Abstract

With the number of total hip arthroplasties increasing day by day, especially in the younger age group, the need for revising these at a later date is going to be a challenge to the arthroplasty surgeon. The varied degrees of bone loss encountered while revising these determines the kind of revision prosthesis needed. Extensively porous coated stems are useful in Paprosky Type II and Type IIIa defects. They obtain initial scratch fit in the intact diaphysis and secondary bone ingrowth provided long-term stability. The major problems with these stems are that they do not work in osteoporotic bones with capacious femoral canals. Periprosthetic fractures, stress shielding, thigh pain, and subsidence are major concerns while using them. Despite these, they have found widespread usage in revision total hip arthroplasty, although they are now being overshadowed by their tapered and modular counterparts available in the market.

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Authors and Affiliations

  1. ORTHOPEDICS & JOINT REPLACEMENT, Amrita Institute of Medical Sciences, Amrita Vishwavidyapeetham, Amrita School of Medicine, Faridabad, Delhi NCR, India

    Mrinal Sharma

  2. Department of Orthopaedics, Rungta Hospital, Jaipur, Rajasthan, India

    Bharat Dhanjani

  3. Amrita School of Medicine, Faridabad, Delhi NCR, India

    Vijay Kumar

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  1. Mrinal Sharma
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  2. Bharat Dhanjani
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  3. Vijay Kumar
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Correspondence to Mrinal Sharma .

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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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Sharma, M., Dhanjani, B., Kumar, V. (2023). Extensively Porous Coated Stems in Revision Total Hip Arthroplasty. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_57

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  • DOI: https://doi.org/10.1007/978-981-99-5517-6_57

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