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FEMORAL REVISION WITH A FLUTED TAPERED MODULAR STEM



Abstract

To document the medium term results of the use of a fluted tapered titanium femoral stem in revision total hip arthroplasty.

70 patients undergoing total hip revision using a tapered grit blasted titanium modular stem were reviewed at a mean follow up time of 47 months. No bone graqfts were used. Femoral defects were classified according to Pak and Paprosky and the femoral bone quality was assessed with the Bohm and Bischel system. Clinical function was assessed by the Oxford Hip Score. Radiographic analysis was performed in all cases.

The results of the use of this prosthesis compares favourably with other revision stems. The Oxford Hip Scores compare favourably with the results for revisions recorded in the New Zealand National Joint Register (24.3) Although technically demanding this stem offers a very satisfactory solution for revision of total hips in most circumstances.

Correspondence should be addressed to Richard Komistek, PhD, International Society for Technology in Arthroplasty, PO Box 6564, Auburn, CA 95604, USA. E-mail: ista@pacbell.net