Extraction of Fixed Uncemented Stems Using Slot Osteotomy: Technical Note
Abstract
The removal of a fixed uncemented femoral stem during revision surgery is a challenging task, even for experienced surgeons. The most well-known and commonly used technique is the extended trochanteric osteotomy (ETO), but it is not without complications. Therefore, the aim of this report is to describe the slot osteotomy technique for the extraction of fixed uncemented stems as a less invasive yet highly effective alternative to ETO.Downloads
References
Wagner H. [Revision prosthesis for the hip joint in severe bone loss]. Orthopade. 1987;16(4):295-300. [En alemán] PMID: 3658412
Glassman AH, Engh CA, Bobyn JD. Proximal femoral osteotomy as an adjunct in cementless revision total hip arthroplasty. J Arthroplasty 1987;2(1):47-63. https://doi.org/10.1016/s0883-5403(87)80031-1
Younger TI, Bradford MS, Magnus RE, Paprosky WG. Extended proximal femoral osteotomy. A new technique for femoral revision arthroplasty. J Arthroplasty 1995;10(3):329-38. https://doi.org/10.1016/s0883-5403(05)80182-2
Frankel A, Booth RE Jr, Balderston RA, Cohn J, Rothman RH. Complications of trochanteric osteotomy. Long-term implications. Clin Orthop Relat Res 1993;288:209-13. PMID: 8458136
Kuruvalli RR, Landsmeer R, Debnath UK, Suresh SP, Thomas TL. A new technique to reattach an extended
trochanteric osteotomy in revision THA using suture cord. Clin Orthop Relat Res 2008;466(6):1444-8.
https://doi.org/10.1007/s11999-008-0233-4
Mardones R, Gonzalez C, Cabanela ME, Trousdale RT, Berry DJ. Extended femoral osteotomy for revision of hip arthroplasty: results and complications. J Arthroplasty 2005;20(1):79-83. https://doi.org/10.1016/j.arth.2004.10.014
Bauze AJ, Charity J, Tsiridis E, Timperley AJ, Gie GA. Posterior longitudinal split osteotomy for femoral
component extraction in revision total hip arthroplasty. J Arthroplasty 2008;23(1):86-9. https:/doi.org/10.1016/j.a.th.2007.01.014
Jack CM, Molloy DO, Esposito C, Walter WL, Zicat B, Walter WK. Limited slot femorotomy for removal of
proximally coated cementless stems. A 10-year follow-up of an unreported surgical technique. J Arthroplasty
;28(6):1000-4. https:/doi.org/10.1016/j.arth.2012.10.025
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