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A novel use of a tibial cone in a proximal femoral replacement.

ABSTRACT: Revision total hip arthroplasty in the setting of severe femoral bone loss can be challenging, with salvage options often limited to modular tapered stems, allograft prosthetic composites, and megaprostheses. This case highlights a 79-year-old woman with 2 years of thigh pain who is 8 years status post a revision proximal femoral allograft prosthetic composite reconstruction. Radiographs demonstrated significant stem subsidence into the femoral condyle. In an attempt to avoid a total femoral replacement and spare her functioning native knee, a tibial cone was used in conjunction with a proximal femoral replacement to structurally fill the flaring femoral canal and serve as a stable pedestal for the megaprosthesis body and provide the potential for biologic ingrowth. At 12-month follow-up, she ambulates with a cane, and radiographs reveal stable implant position.

SUBMITTER: Koech H

PROVIDER: S-EPMC5994599 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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A novel use of a tibial cone in a proximal femoral replacement.

Koech Hilary H Lawrenz Joshua M JM Mesko Daniel R DR Molloy Robert M RM

Arthroplasty today 20180201 2

Revision total hip arthroplasty in the setting of severe femoral bone loss can be challenging, with salvage options often limited to modular tapered stems, allograft prosthetic composites, and megaprostheses. This case highlights a 79-year-old woman with 2 years of thigh pain who is 8 years status post a revision proximal femoral allograft prosthetic composite reconstruction. Radiographs demonstrated significant stem subsidence into the femoral condyle. In an attempt to avoid a total femoral rep ...[more]

PMID: 29896548

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