Good Short-Term Outcome of Arthroplasty With Wagner SL Implants for Unstable Intertrochanteric Osteoporotic Fractures

Primary Total Hip Arthroplasty Using an Uncemented Wagner SL Stem in Elderly Patients With Dorr Type C Femoral Bone

“…With current advances in prosthetic design, cementless fixation of the femoral stem has proven to be durable and predictable in total hip arthroplasty. [4][5][6][8][9][10] More and more cementless prostheses have been successfully used in particular situations, such as elder patients with poor bone stock, 10,12,26 abnormal shape of proximal femur, 8 and also in revision surgery. 11,[27][28][29] Although the results of conventional large diameter or tapered cementless stems ware generally good in the patients with type C bone, 12,27,30 the degree of stem-to-canal fill and the parameters of cortical index and isthmus width, which indicated the extremely wide stovepipe canals have seldom described in the literature, [4][5][6]12,30,31 and few consider the Wagner SL stem as a possibility in primary total hip arthroplasty for Type C bone.…”

“…The third generation of Wagner SL stem is designed to a long-straight stem with cylindrical tapered geometry. 12 The stem is available in lengths of 190 mm to 305 mm and diameters of 14 mm to 25 mm.…”

“…This prosthesis was originally designed by Wagner in 1987 11 for treating patients with severe bone loss in their proximal femurs. 12 The third generation of Wagner SL femoral stem occupies cylindrical tapered shape and long straight shaft, which has a close geometrical matching to the stovepipe femoral canals. In the present study, we extended the use of cementless Wagner SL stems to primary total hip arthroplasty in patients with Type C bone.…”

Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report

“…The results of the present study also testified this opinion. Although many studies indicated that hemiarthroplasty in treating these fractures had very low incidence of postoperative complications [3], [16], [17], [23], [24], the complications of hemiarthroplasty, such as prosthetic dislocation, prosthesis loosen and cement reaction, can not be completely avoided, which are mainly depended on the skill level of the operating surgeon. The procedures of hemiarthroplasty in treating intertrochanteric fracture are much more complicated than in treating femoral neck fracture, especially in case of comminuted intertrochanteric fracture, of which more sophisticated techniques are needed to ensure proper installation of the prosthesis.…”

Efficacy of Kirschner-wires and tension band in hip arthroplasty for aged patients with unstable intertrochanteric osteoporotic fracture

“…Chu et al [17] and Lee et al [18] reported satisfactory outcomes by using hip replacement for the osteoporotic fractures with cementless stem, including Wagner SL and hydroxyapatite-coated long stem. Patterson proposed an insertion of cementless stem in elderly patients accompanied with cardiac or pulmonary disorders generally, in order to prevent cement-related cardiovascular complications.…”