Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 26572
TOTAL HIP REPLACEMENT. ADVANTAGES OF THE USE OF FEMORAL STEM
WITH MODULAR NECK
Dimitris GEORGIANNOS, Ilias BISBINAS, Mathias SAVVIDIS, George GOUVAS
1st Orthopaedic Department, 424 General Military Hospital, Thessaloniki (GREECE)
OBJECT: The purpose of this study was to demonstrate the benefits and
effectiveness of the use of the femoral stem with modular neck for treatment of hip
osteoarthritis. MATERIAL-METHOD: 85 patients suffering hip osteoarthritis treated
with total hip replacement. We used the Lineage® (WRIGHT Medical Technology,
Arlington, TN) acetabular cup system and the Profemur® E (WRIGHT Medical
Technology, Arlington, TN) porous coated femoral stem with modular neck. All
operations performed by the same surgical team, technique and approach.
RESULTS: All patients followed the same rehabilitation programme. Mean follow up
22 months. Mean Harris hip score 92. 3 patients (3.5%) suffered recurrent
dislocations of the total hip replacement due to excess femoral anteversion.
Treatment of choice was minimal revision with replacement only of the modular neck
with one in 8º of retroversion. CONCLUSION: The use of femoral stem with modular
neck approved very effective because, in case of recurrent dislocation of total hip
replacement, gives the beneficial opportunity of minimal revision with a modular neck
in anteversion/retroversion accordingly that provides stability.
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