Head-neck disassembly of an uncemented revision stem treated by addition of a proximal spacer

Acta Orthop Belg. 2003 Oct;69(5):463-6.

Abstract

A 67-year-old woman underwent revision total hip replacement with a long, distally fixed uncemented stem inserted through a transfemoral approach. Initial stability was not achieved and the stem subsided early. Probably due to a conflict with the minor trochanter, the prosthetic head detached from its neck. Instead of a re-revision of the stem, a proximal spacer was inserted to restore stability and to compensate for leg-length discrepancy. This has proved to be a stable and satisfactory solution after three years follow-up.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Arthroplasty, Replacement, Hip / methods
  • Bone Cements
  • Female
  • Femur Head / surgery
  • Hip Prosthesis / adverse effects*
  • Humans
  • Joint Instability / prevention & control
  • Osteoarthritis, Hip / diagnostic imaging
  • Osteoarthritis, Hip / surgery*
  • Prosthesis Design
  • Prosthesis Failure
  • Radiography
  • Range of Motion, Articular / physiology
  • Recovery of Function
  • Reoperation
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Bone Cements