Hartman Curtis W, Garvin Kevin L
Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, NE, USA.
Instr Course Lect. 2012;61:313-25.
Management of the femur during revision total hip arthroplasty can be challenging. Strategies for femoral reconstruction are based on understanding the degree of femoral bone loss. Numerous options exist for femoral reconstruction depending on the quantity and quality of the remaining femoral bone stock, including cemented fixation, cementless fixation using proximally porous-coated implants, cylindrical extensively porous-coated implants, modular and nonmodular tapered fluted stems, impaction bone grafting, allograft-prosthetic composites, and proximal femoral replacements (megaprostheses). An understanding of the results of various methods of femoral reconstruction is helpful in guiding the revision surgeon faced with a challenging femoral revision.
翻修全髋关节置换术中股骨的处理可能具有挑战性。股骨重建策略基于对股骨骨量丢失程度的了解。根据剩余股骨骨量的数量和质量，存在多种股骨重建选择，包括骨水泥固定、使用近端多孔涂层植入物的非骨水泥固定、圆柱形广泛多孔涂层植入物、模块化和非模块化锥形带槽柄、打压植骨、同种异体骨-假体复合物以及近端股骨置换（大型假体）。了解各种股骨重建方法的结果有助于指导面临具有挑战性股骨翻修的外科医生。
