Interprosthetic Femoral Sleeves in Revision Arthroplasty: A 20-Year Experience

Abdelaziz, Hussein; Saleri, Solmaz; Mau, Hans; Sandiford, Nemandra A; Lausmann, Christian; Zahár, Ákos; Gehrke, Thorsten; Haasper, Carl; Citak, Mustafa

doi:10.1016/j.arth.2019.02.055

Cited by 17 publications

(14 citation statements)

References 13 publications

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“…Full weight-bearing is possible postoperatively, and good results with a survivorship of 4.6 years were observed, with a mean HHS of 69.9 points [28]. However, the complication rate was 47.8%, with a mechanical failure rate of 21.7% [28]. The complication rate and functional outcome were better than is typical after total femur replacement, which would be the alternative therapeutic option in those cases [13].…”

Section: Discussionmentioning

confidence: 94%

“…In 2013, Citak et al [27] described for interprosthetic fracture an interposition prosthesis that can be attached to both sides of the prosthesis by cement augmentation using interprosthetic femoral sleeves in case of revision surgery (Waldemar Link, Hamburg, Germany). It is made of cobalt-chromiummolybdenum alloy, and the double-ended 2-piece sleeves are cemented to the prosthetic end and connected with screws [27,28]. Full weight-bearing is possible postoperatively, and good results with a survivorship of 4.6 years were observed, with a mean HHS of 69.9 points [28].…”

Section: Discussionmentioning

confidence: 99%

“…It is made of cobalt-chromiummolybdenum alloy, and the double-ended 2-piece sleeves are cemented to the prosthetic end and connected with screws [27,28]. Full weight-bearing is possible postoperatively, and good results with a survivorship of 4.6 years were observed, with a mean HHS of 69.9 points [28]. However, the complication rate was 47.8%, with a mechanical failure rate of 21.7% [28].…”

Section: Discussionmentioning

confidence: 99%

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Revision of a Fractured Titanium Modular Revision Hip Stem Without Removal of the Well-Fixed Part of the Stem: A New Approach Using a Cemented Tube

et al. 2020

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Component fracture is a rare cause for revision in total hip arthroplasty. For a fractured well-fixed long femoral stem, the options are limited. We sought to develop a technique to address this problem with lower morbidity. A newly developed cemented tube was constructed and cemented onto a fractured Revitan revision hip femoral stem to retain the distal well-fixed component. At the 2-year follow-up, the Harris Hip Score, pain level, and radiographic images were analyzed. At the 2-year follow-up, no radiological signs of loosening or failure could be observed. The patient's preoperative Harris Hip Score improved from 42.8 to 97 points. The pain level improved from 7/10 to 0/10. Our case report depicts excellent clinical and radiographic outcomes at 2-year follow-up by a newly developed cemented tube technique. This technique is a potential new option for revision of fractured well-fixed diaphyseal stems without major bone loss. Our successful results suggest this technique is worthy of consideration and further study.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Revision of a Fractured Titanium Modular Revision Hip Stem Without Removal of the Well-Fixed Part of the Stem: A New Approach Using a Cemented Tube

et al. 2020

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“…Abdelaziz et al report a 20-year experience of using custom-made interposition sleeves in 26 patients with minimum one-year follow-up. 85 Mean sleeve survivorship was 4.6 years but the overall rate of complication was high at 47.8% including mechanical failure (21.7%) and infection (13%). Jennison and Yarlagadda published on 24 IFFs over a seven-year period treated with IF (19 cases), revision TKR (two cases) or revision THR (three cases).…”

Section: Managementmentioning

confidence: 96%

Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes

Lamb

Palan

et al. 2020

EFORT Open Reviews

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The rising incidence of postoperative periprosthetic femoral fracture (PFF) presents a significant clinical and economic burden. A detailed understanding of risk factors is required in order to guide preventative strategies. Different femoral stems have unique characteristics and management strategies must be tailored appropriately. Consensus regarding treatment of PFFs around well-fixed stems is lacking, but revision surgery may provide more predictable outcomes for unstable fracture patterns and fractures around polished taper-slip stems. Future research should focus on implant-related risk factors, treatment of concurrent metabolic bone disease and the use of large endoprostheses. Cite this article: EFORT Open Rev 2020;5:558-567. DOI: 10.1302/2058-5241.5.200003

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“…Interprosthetic sleeves can be useful to help bypass insufficient diaphyseal bone between stemmed prosthesis. 34 Cortical strut augmentation in the setting of interprosthetic fractures has not been explicitly described; however, experience in the setting of single joint periprosthetic fracture can be extrapolated and applied to treatment of interprosthetic fractures with deficient bone stock or nonunion. In these situations, the cortical struts can serve to restore bone stock for noncircumferential loss of cortical bone, bypass stress risers, and further provide biological stabilization at the allograft-host bone interface.…”

Section: Considerations In Patients With Poor Bone Stockmentioning

confidence: 99%

<p>Interprosthetic femoral fractures: management challenges</p>

Rozell

Delagrammaticas

Schwarzkopf

2019

ORR

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Interprosthetic femur fractures are a rare but serious complication following total hip and knee arthroplasty. Classification systems have focused not only on diagnosis but also on treatment algorithm. Critical to the evaluation of patients with these fractures are an assessment of fracture location, bone quality, and the presence of stemmed implants. The gold standard for fracture fixation is locked plating with bicortical and unicortical screws, supplemented with wires or cables as needed. For patients with compromised bone stock or insufficient bony area for fixation, allograft augmentation with struts or interprosthetic sleeves may be used. For fractures with severe bone loss, conversion to a megaprosthesis or total femur replacement may be warranted.

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Interprosthetic Femoral Sleeves in Revision Arthroplasty: A 20-Year Experience

Cited by 17 publications

References 13 publications

Revision of a Fractured Titanium Modular Revision Hip Stem Without Removal of the Well-Fixed Part of the Stem: A New Approach Using a Cemented Tube

Revision of a Fractured Titanium Modular Revision Hip Stem Without Removal of the Well-Fixed Part of the Stem: A New Approach Using a Cemented Tube

Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes

<p>Interprosthetic femoral fractures: management challenges</p>

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