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General Orthopaedics

Revision of Femoral Components by Long Stem: Cementless Versus Cemented

The International Society for Technology in Arthroplasty (ISTA)



Abstract

Between 2001 and 2010, 120 cases of femoral revisions were done, these cases were treated by one of the following three techniques; the first one is revision by long stem cemented, the second is revision by long stem cementless with the use of oscar system through endofemoral application and the third is revision by long stem cementless via Wagner osteotomy, one of these patients was treated by long stem cemented as primary treatment due to proximal femoral deficiency.

All of the long stem revisions were treated without the use of strut cortical allograft as this type of graft is not available in Egypt.

The choice of the implant depends on the type of the primary prosthesis, bone quality, proximal femoral deficiency and the technique of removal.


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