The Journal of Bone and Joint Surgery (American) 85:1-6 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.
Classification and an Algorithmic Approach to the Reconstruction of Femoral Deficiency in Revision Total Hip Arthroplasty
Craig J. Della Valle, MD and
Wayne G. Paprosky, MD
Corresponding author: Craig J. Della Valle, MD Midwest Orthopaedics at
Rush, 1725 West Harrison Street, Suite 1063, Chicago, IL 60612. E-mail
address:
craigdv@yahoo.com
| The first 150 words of the full text of this article appear below. |
As the number of patients who have undergone total hip arthroplasty rises,
the number of patients requiring revision surgery for a failed total hip
arthroplasty increases as well. It is estimated that 183,000 total hip
replacements were performed in the United States in 2000 and that 31,000 (17%)
of these were revision
procedures1. Femoral
reconstruction at the time of revision total hip arthroplasty can be
challenging both from a technical perspective and in terms of preoperative
planning. With multiple reconstructive options available, it is helpful to
have a classification system available to guide the surgeon in selecting the
appropriate method of reconstruction. A system for the classification of
femoral deficiency that was developed by the senior author
(W.G.P.)2 and an
algorithmic approach to femoral reconstruction are presented in the current
report.
 |
Methods
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Seventy-one consecutive femoral revision arthroplasties that involved
reconstruction with an extensively coated, diaphyseal fitting stem were
reviewed at . . . [Full Text of this Article]

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