A Novel Antero-Medial Cortical Window Technique for Removal of Well-Fixed Fully Porous Stem in Revision Total Hip Arthroplasty

Harada, Hideto; Fujita, Hiroshi

doi:10.4172/2161-0533.1000216

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…There have been several versions of cortical osteotomy described in the literature for the extraction of the broken femoral stem [1] or removal of the cemented/ uncemented femoral stem [7]. But these are the technique described in a case report or in the form of a case series with smaller sample size and limited follow-up.…”

Section: Discussionmentioning

confidence: 99%

Medium term outcome of Lancaster cortical window technique for extraction of femoral stem in revision hip arthroplasty

et al. 2021

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Background The extraction of a femoral stem during the revision hip arthroplasty can be a daunting task and can lead to catastrophic complications for the patient. A sound technique employed intraoperatively helps in the speedy recovery of the patient and reduces the risk of future surgical interventions. In this study, we present a medium-term outcome of our novel Lancaster cortical window technique which can be used for the removal of cemented or uncemented femoral stems. Methods The study was conducted at a specialist centre in the north-west of the UK from January 2014 to May 2019. This is a retrospective case series where patients were treated surgically using the Lancaster cortical window technique for removal of the femoral implant during a revision hip arthroplasty. Patient’s electronic notes and radiographs were used to evaluate the functional and radiological outcome. Results In this study, 18 patients were managed surgically using the novel Lancaster window technique. The mean age of all the patients was 81.5 years, and the male to female ratio was 10:8. Fifteen patients underwent revision surgery for aseptic loosening of the femoral and acetabular components. The rest of the three patients had revision surgery for a broken femoral stem, intraoperative femoral canal perforation while implanting a total hip replacement femoral stem and infection. Twelve femurs were replanted with uncemented long femoral stems and six with long cemented stems. The cortical window osteotomy united in all the patients in 4.2 months (mean). The mean follow-up of these patients is 20.9 months, and none of them had any implant subsidence or loosening at the time of their last follow-up. Conclusion We believe Lancaster cortical window technique can be safely used for the removal of cemented stems during revision hip arthroplasty without the need for expensive equipment.

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Section: Discussionmentioning

confidence: 99%

Medium term outcome of Lancaster cortical window technique for extraction of femoral stem in revision hip arthroplasty

et al. 2021

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“…There have been several versions of cortical osteotomy described in the literature for extraction of the broken femoral stem (Akrawi et al, 2014) or removal of cemented/uncemented femoral stem (Harada and Fujita, 2016). But these are the technique described in a case report or in the form of a case series with smaller sample size and limited follow up.…”

Section: )mentioning

confidence: 99%

Medium Term Outcome of Lancaster Cortical Window Technique For Extraction of Femoral Stem in Revision Hip Arthroplasty

Singh

Mukherjee

Patel

et al. 2021

Preprint

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Background The extraction of a femoral stem during the revision hip arthroplasty can be a daunting task and can lead to catastrophic complications for the patient. A sound technique employed intraoperatively helps in speedy recovery of the patient and reduces the risk of future surgical interventions. In this study, we present a medium-term outcome of our novel Lancaster Cortical Window technique which can be used for removal of cemented or uncemented femoral stems. Methodology The study was conducted at a specialist centre in the North-West of the UK from January 2014 to May 2019. This is a retrospective case series where patients were treated surgically using Lancaster Cortical Window technique for removal of femoral implant during a revision hip arthroplasty. Patient’s electronic notes and the radiographs were used to evaluate the functional and radiological outcome. Results In this study, 18 patients were managed surgically using Novel Lancaster Window technique. The mean age of the all the patients was 81.5 years and the male to female ratio was 10:8. Fifteen patients underwent revision surgery for aseptic loosening of the femoral and acetabular component. Rest of the three patients had revision surgery for a broken femoral stem, intraoperative femoral canal perforation while implanting a total hip replacement femoral stem and infection. Twelve femurs were replanted with uncemented long femoral stems and six with long cemented stems. The cortical window osteotomy united in all the patients in 4.2 months (mean). The mean follow up of these patients is 20.9 months, and none of them had any implant subsidence or loosening at the time of their last follow up. Conclusion We believe Lancaster cortical window technique can be safely used for removal of cemented stems during revision hip arthroplasty without the need for expensive equipment’s.

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A Novel Antero-Medial Cortical Window Technique for Removal of Well-Fixed Fully Porous Stem in Revision Total Hip Arthroplasty

Cited by 2 publications

References 9 publications

Medium term outcome of Lancaster cortical window technique for extraction of femoral stem in revision hip arthroplasty

Medium term outcome of Lancaster cortical window technique for extraction of femoral stem in revision hip arthroplasty

Medium Term Outcome of Lancaster Cortical Window Technique For Extraction of Femoral Stem in Revision Hip Arthroplasty

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