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

Slides:

Advertisements

Similar presentations

Management of Bone Defects in Revision Total Knee Arthroplasty

Advertisements

Total knee arthroplasty in multiple sclerosis

Volume 4, Issue 3, Pages (September 2018)

Volume 2, Issue 4, Pages (December 2016)

Volume 4, Issue 3, Pages (September 2018)

Rehabilitation after total femur replacement: a report of 2 cases1

False-negative synovial alpha-defensin

Canted seating of the Stryker Modular Dual Mobility liner within a Trident hemispherical acetabular shell Scott M. Eskildsen, MD, Erik C. Olsson, MD,

Proximal tibiofibular osteoarthritis presenting as pain after total knee arthroplasty treated successfully with fusion of the proximal tibial-fibular.

Volume 3, Issue 3, Pages (September 2017)

Colin D. Canham, MD, Christopher Walsh, MD, Stephen J. Incavo, MD

Delayed diagnosis of catastrophic ceramic liner failure with resultant pelvic discontinuity and massive metallosis Benjamin A. Winston, MD, Ryland P.

Volume 4, Issue 2, Pages (June 2018)

Volume 4, Issue 2, Pages (June 2018)

Joseph R. Langston, MD, Alexander M. DeHaan, MD, Thomas W. Huff, MD

Fracture risk of tapered modular revision stems: a failure analysis

Volume 2, Issue 2, Pages (June 2016)

Early fracture of the modular neck of a MODULUS femoral stem

Volume 4, Issue 1, Pages (March 2018)

Severe heterotopic ossification and stiffness after revision knee surgery for a periprosthetic fracture Maher Baroudi, MD, Pascale Derome, MD, Michel.

Volume 4, Issue 1, Pages 3-9 (March 2018)

Volume 4, Issue 4, Pages (December 2018)

Superior rim fracture of a vitamin E-infused highly cross-linked polyethylene (HXLPE) liner leading to total hip arthroplasty revision Brett G. Brazier,

Traumatic anterior knee dislocation after total knee arthroplasty

Combining a hip arthroplasty stem with trochanteric reattachment bolt and a polyaxial locking plate in the treatment of a periprosthetic fracture below.

Lumbar chance fracture after direct anterior total hip arthroplasty

Concomitant achondroplasia and developmental dysplasia of the hip

Failure of Emperion modular femoral stem with implant analysis

Bilateral atypical femoral fracture and end-stage arthritis of the hip, treated with total hip arthroplasty Scott M. Sandilands, DO, Jesus M. Villa,

The cyclops lesion after bicruciate-retaining total knee replacement

Total femoral allograft with simultaneous revision total hip and knee arthroplasty: 18 year follow-up Ryan N. Harris, DO, Trevor M. Owen, MD, Joseph.

Renal failure after placement of an articulating, antibiotic impregnated polymethylmethacrlyate hip spacer Robert P. Runner, MD, Amanda Mener, BS, Thomas.

Volume 4, Issue 2, Pages (June 2018)

Unusual presentation of failed metal-on-metal total hip arthroplasty with features of neoplastic process Robert P. Runner, MD, Briggs M. Ahearn, MD,

Disassembly of the inner head of a bipolar hip prosthesis

Volume 4, Issue 1, Pages (March 2018)

Total knee arthroplasty in patients with extra-articular deformity

Erin Honcharuk, MD, Stephen Kayiaros, MD, Lee E. Rubin, MD

Bernd Fink, MD, Alexander Mittelstädt, MD

Volume 5, Issue 1, Pages (March 2019)

Volume 5, Issue 1, Pages (March 2019)

Volume 2, Issue 4, Pages (December 2016)

Tibial tray fracture in a modern prosthesis with retrieval analysis

Hirokazu Takai, MD, Tomoki Takahashi, MD, PhD Arthroplasty Today

Volume 2, Issue 3, Pages (September 2016)

Volume 4, Issue 3, Pages (September 2018)

Florian Dibra, MD, Hari Parvataneni, MD Arthroplasty Today

Antibiotic impregnated total femur spacers: a technical tip

Volume 3, Issue 1, Pages 7-11 (March 2017)

Pinnacle polyethylene liner dissociation: a report of 3 cases

Volume 1, Issue 4, Pages (December 2015)

Volume 1, Issue 2, Pages (June 2015)

Kevin T. Hug, MD, Navin D. Fernando, MD, FRCS(C) Arthroplasty Today

Volume 3, Issue 1, Pages (March 2017)

Retrieval analysis of a failed synthetic mesh extensor mechanism reconstruction after total knee arthroplasty Anna Cohen-Rosenblum, MD, Ashley Volaric,

Kevin Nishida, MS, Daniel Choi, MEng, Mathias Bostrom, MD

Volume 2, Issue 1, Pages 2-5 (March 2016)

Arthroprosthetic cobaltism associated with cardiomyopathy

Disassembly of the inner head of a bipolar hip prosthesis

Total knee arthroplasty in osteogenesis imperfecta

Rapidly destructive osteoarthritis can mimic infection

Abundant heterotopic bone formation following use of rhBMP-2 in the treatment of acetabular bone defects during revision hip arthroplasty Alexander Arzeno,

Volume 3, Issue 4, Pages (December 2017)

Adam I. Edelstein, MD, Duy L. Phan, MD, Scott M. Sporer, MD

Maarten Koper, MD, Rob Verdijk, MD, PhD, Koen Bos, MD, PhD

Volume 5, Issue 1, Pages (March 2019)

Total knee arthroplasty in patients with extra-articular deformity

Tibial tray fracture in a modern prosthesis with retrieval analysis

Abundant heterotopic bone formation following use of rhBMP-2 in the treatment of acetabular bone defects during revision hip arthroplasty Alexander Arzeno,

Volume 5, Issue 2, Pages (June 2019)

Presentation transcript:

A novel use of a tibial cone in a proximal femoral replacement Hilary Koech, BS, Joshua M. Lawrenz, MD, Daniel R. Mesko, DO, Robert M. Molloy, MD Arthroplasty Today Volume 4, Issue 2, Pages 175-179 (June 2018) DOI: 10.1016/j.artd.2017.12.006 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Anteroposterior (AP) proximal (a), AP distal (b) and lateral (c) radiographs of the left femur show a stable femoral allograft prosthetic composite in 2008, using an S-ROM stem reinforced with strut grafts laterally. Arthroplasty Today 2018 4, 175-179DOI: (10.1016/j.artd.2017.12.006) Copyright © 2017 The Authors Terms and Conditions

Figure 2 AP (a) and lateral (b) radiographs of the left femur show prosthesis subsidence into the supracondylar region in 2012 and then further distally to the subarticular area of the lateral femoral condyle in 2016 (c and d). Arthroplasty Today 2018 4, 175-179DOI: (10.1016/j.artd.2017.12.006) Copyright © 2017 The Authors Terms and Conditions

Figure 3 An intraoperative photograph was taken during cementation of the proximal femoral replacement stem to the remaining native distal femur. The black arrow draws attention to the interface between the femoral body proximally (toward the top of the photo) and the tibial cone distally (toward the bottom of the photo). Arthroplasty Today 2018 4, 175-179DOI: (10.1016/j.artd.2017.12.006) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Immediate postoperative AP radiographs of the left femur (a and b) show appropriate placement of the proximal femoral megaprosthesis and the associated tibial cone. AP (c and d) and lateral (e) radiographs of the left femur at 1-year follow-up demonstrate stable component positioning without evidence of subsidence. Arthroplasty Today 2018 4, 175-179DOI: (10.1016/j.artd.2017.12.006) Copyright © 2017 The Authors Terms and Conditions