Use of an anatomic long-stemmed component in femoral impaction grafting.

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Authors
Westerman, Richard W.
Timperley, Andrew J.
Journal
Hip international : the journal of clinical and experimental research on hip pathology and therapy
Type
Journal Article
Case Report
Publisher
ICHTIG
Rights
Archived with thanks to Hip international : the journal of clinical and experimental research on hip pathology and therapy
We describe a challenging femoral revision for aseptic loosening in a relatively young and active man. The femur had gross osteolysis, an absent calcar and a cortical diaphyseal defect at the level of the isthmus (Paprosky 3b defect).The cortical defects were repaired and the whole femur then restored with Femoral Impaction Grafting (FIG) using custom-made impaction instruments and an anatomic shaped collarless, polished, tapered femoral component.In the active adult, bone restoring revision techniques such as impaction grafting should be considered to give a realistic prospect of host bone augmentation rather than simply aiming for a distally fixed stem in a patulous femoral canal.
Citation
Use of an anatomic long-stemmed component in femoral impaction grafting. 2016 Feb 8;26(1):e1-3
Note