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The Journal of Bone and Joint Surgery, Vol 63, Issue 8 1228-1239, Copyright © 1981 by Journal of Bone and Joint Surgery, Inc
Hip salvage by proximal femoral replacement
FH Sim and EY Chao
Total hip arthroplasty with a special segmental replacement of the proximal
end of the femur which varied in length from eighty to 150 millimeters was
performed in twenty-one patients who had severe non-neoplastic conditions
of the proximal part of the femur that necessitated salvage. Ten patients
had previously failed arthroplasties associated with loss of bone
structure; seven had non-union of a proximal femoral fracture or osteotomy
associated with severe hip disease; there had a failed resection
arthroplasty; and one had an arthrodesis and incapacitating low-back pain.
Clinical and roentgenographic data during follow-up of twenty-five to
ninety-two months showed that only one patient had loosening of the
acetabular component. In twenty of the twenty-one patients, total hip
arthroplasty with proximal femoral replacement was effective in restoring
the integrity of the bone and restoring function of the hip.
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