Anterolateral Bone Window for Revision Broken Cemented Stem of Unipolar Hemiarthroplasty
Background. Fractured stem of the hip prosthesis is well documented in the literature. Although it is rare, it is considered as a challenging problem. Many techniques have been described to solve this problem. Purpose of the Study. Evaluation of the effect of anterolateral bone window for extraction...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/6620395 |
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| author | Mohamed Mosa Mohamed Mahmoud Bahaaeldin Ibrahim Amr Abdelhalem Amr Maysara Abdelhalem Bayoumy |
| author_facet | Mohamed Mosa Mohamed Mahmoud Bahaaeldin Ibrahim Amr Abdelhalem Amr Maysara Abdelhalem Bayoumy |
| author_sort | Mohamed Mosa Mohamed Mahmoud |
| collection | DOAJ |
| description | Background. Fractured stem of the hip prosthesis is well documented in the literature. Although it is rare, it is considered as a challenging problem. Many techniques have been described to solve this problem. Purpose of the Study. Evaluation of the effect of anterolateral bone window for extraction of the cemented femoral stem of hemiarthroplasty in revision total hip replacement. Methods. The study included eight revision hip arthroplasties in eight patients, with a broken stem of cemented (Thompson) hemiarthroplasty, which has been revised by the anterolateral proximal femoral window. All cases received cemented cups and cement-in-cement stems, except one case who received cementless long stem. Clinical follow-up of cases by Harries hip score (HHS) and X-ray. Results. Functional improvement of HHS of all cases, with no signs of loosening, after a mean follow-up period of 1.5 years. Conclusion. Extraction of broken stem is a challenging procedure. Many techniques have been described for revision of cases with a fractured stem of hip prosthesis, but we think that the anterolateral femoral bone window is a reproducible technique due to the characteristics of simplicity, short-time procedure, less invasive, not requiring extra instruments, and can be successful for most patients. |
| format | Article |
| id | doaj-art-dece7e09254844d09f95c7b0063bf195 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-dece7e09254844d09f95c7b0063bf1952025-08-20T03:26:15ZengWileyAdvances in Orthopedics2090-34642090-34722021-01-01202110.1155/2021/66203956620395Anterolateral Bone Window for Revision Broken Cemented Stem of Unipolar HemiarthroplastyMohamed Mosa Mohamed Mahmoud0Bahaaeldin Ibrahim1Amr Abdelhalem Amr2Maysara Abdelhalem Bayoumy3Orthopaedic and Traumatology Department, Faculty of Medicine in Assiut, Al-Azhar University, Assiut 71524, EgyptOrthopaedic and Traumatology Department, Faculty of Medicine in Assiut, Al-Azhar University, Assiut 71524, EgyptOrthopaedic and Traumatology Department, Faculty of Medicine in Assiut, Al-Azhar University, Assiut 71524, EgyptOrthopaedic and Traumatology Department, Faculty of Medicine in Assiut, Al-Azhar University, Assiut 71524, EgyptBackground. Fractured stem of the hip prosthesis is well documented in the literature. Although it is rare, it is considered as a challenging problem. Many techniques have been described to solve this problem. Purpose of the Study. Evaluation of the effect of anterolateral bone window for extraction of the cemented femoral stem of hemiarthroplasty in revision total hip replacement. Methods. The study included eight revision hip arthroplasties in eight patients, with a broken stem of cemented (Thompson) hemiarthroplasty, which has been revised by the anterolateral proximal femoral window. All cases received cemented cups and cement-in-cement stems, except one case who received cementless long stem. Clinical follow-up of cases by Harries hip score (HHS) and X-ray. Results. Functional improvement of HHS of all cases, with no signs of loosening, after a mean follow-up period of 1.5 years. Conclusion. Extraction of broken stem is a challenging procedure. Many techniques have been described for revision of cases with a fractured stem of hip prosthesis, but we think that the anterolateral femoral bone window is a reproducible technique due to the characteristics of simplicity, short-time procedure, less invasive, not requiring extra instruments, and can be successful for most patients.http://dx.doi.org/10.1155/2021/6620395 |
| spellingShingle | Mohamed Mosa Mohamed Mahmoud Bahaaeldin Ibrahim Amr Abdelhalem Amr Maysara Abdelhalem Bayoumy Anterolateral Bone Window for Revision Broken Cemented Stem of Unipolar Hemiarthroplasty Advances in Orthopedics |
| title | Anterolateral Bone Window for Revision Broken Cemented Stem of Unipolar Hemiarthroplasty |
| title_full | Anterolateral Bone Window for Revision Broken Cemented Stem of Unipolar Hemiarthroplasty |
| title_fullStr | Anterolateral Bone Window for Revision Broken Cemented Stem of Unipolar Hemiarthroplasty |
| title_full_unstemmed | Anterolateral Bone Window for Revision Broken Cemented Stem of Unipolar Hemiarthroplasty |
| title_short | Anterolateral Bone Window for Revision Broken Cemented Stem of Unipolar Hemiarthroplasty |
| title_sort | anterolateral bone window for revision broken cemented stem of unipolar hemiarthroplasty |
| url | http://dx.doi.org/10.1155/2021/6620395 |
| work_keys_str_mv | AT mohamedmosamohamedmahmoud anterolateralbonewindowforrevisionbrokencementedstemofunipolarhemiarthroplasty AT bahaaeldinibrahim anterolateralbonewindowforrevisionbrokencementedstemofunipolarhemiarthroplasty AT amrabdelhalemamr anterolateralbonewindowforrevisionbrokencementedstemofunipolarhemiarthroplasty AT maysaraabdelhalembayoumy anterolateralbonewindowforrevisionbrokencementedstemofunipolarhemiarthroplasty |