Primary and Revision THA Using a Stemless Metaphyseal-Loading Implant above Distorted Proximal Femoral Anatomy. Issue 1 (January 2013)

• Record Type: Journal Article
• Authors: Young, Peter S.; Middleton, Rory G.; Vasukutty, Nijil L.; Uzoigwe, Chika E.; Learmonth, Ian D.; Minhas, Tahawwar Hasnat A.
• Is Part Of: Hip international. Volume 23:Issue 1(2013)
• Page Start: 40
• Page End: 45
• Publication Date: 2013-01
• Subjects: Hip arthroplasty -- Distorted femoral anatomy -- Metaphyseal loading implant -- Proxima -- Revision; Hip joint -- Pathophysiology -- Periodicals; Hip joint -- Diseases -- Periodicals; Hip joint -- Surgery -- Periodicals; 617.581005
• DOI: 10.5301/HIP.2012.10425
• Languages: English
• ISSNs: 1120-7000

Abstract

Total hip arthroplasty is well established as a successful treatment for end stage arthritis, with a wide variety of components currently available. Using traditional stemmed implants in patients with a distorted proximal femur can be technically challenging with an increased risk of complications. We present seven patients with distorted proximal femoral anatomy or failed hip arthroplasty in whom a short, metaphyseal loading implant was utilised. At minimum two-year follow-up there have been no complications with all stems stable and well fixed radiologically. Average improvement in Oxford Hip Score is 32. We suggest that a short, metaphyseal loading prosthesis can be considered in cases where a conventional stemmed implant may not be suitable due to challenging proximal femoral anatomy.