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General Orthopaedics

AVOIDING YOUR NEXT EXTENDED TROCHANTERIC OSTEOTOMY: AN ALTERNATIVE FOR FEMORAL COMPONENT REMOVAL

The Current Concepts in Joint Replacement (CCJR) Spring Meeting, Las Vegas, May 2017.



Abstract

Revision total hip arthroplasty (THA) is a challenging procedure, especially in cases with well-fixed implants. In such cases, several removal techniques have been presented in the current literature, while the most commonly used techniques are the transfemoral osteotomy or the extended trochanteric osteotomy (ETO). Those techniques allow the surgeon to have a better intra-operative exposure of the fixation surfaces of the solid femoral stems. However, the complication rates such as non-union are not unremarkable. Therefore, it is always a good decision to avoid an ETO if alternative techniques exist. The endofemoral surgical technique is an alternative method for the removal of well-fixed cemented and uncemented femoral stems.