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Posterior Femoral Single Limb Osteotomy for the Removal of Well-Fixed Modular Femoral Neck Components
Author(s) -
Keith A. Fehring,
J. Ryan Martin,
Peter K. Sculco,
Saaed Kalantari,
Robert T. Trousdale
Publication year - 2017
Publication title -
reconstructive review
Language(s) - English
Resource type - Journals
eISSN - 2331-2270
pISSN - 2331-2262
DOI - 10.15438/rr.7.2.170
Subject(s) - femoral neck , medicine , osteotomy , surgery , modular design , femoral bone , femur , orthodontics , computer science , osteoporosis , endocrinology , operating system
Modular neck femoral components were introduced to optimize femoral neck anteversion, leg length, offset, and stability in total hip arthroplasty. However, concerns have been raised in recent years regarding early failure of these implants due to corrosion, pseudotumor, as well as fracture of the modular neck. Removing modular neck femoral implants is challenging as removal of the modular femoral neck leaves a proximally coated femoral stem level with the proximal bone of the femoral neck. We describe a posterior femoral single limb osteotomy  (posterior cut of an extended trochanteric osteotomy) for the removal of a modular neck femoral component.

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