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World J Orthop. Nov 18, 2014; 5(5): 614-622
Published online Nov 18, 2014. doi: 10.5312/wjo.v5.i5.614
Published online Nov 18, 2014. doi: 10.5312/wjo.v5.i5.614
Management bone loss of the proximal femur in revision hip arthroplasty: Update on reconstructive options
Vasileios I Sakellariou, First Department of Orthopaedics, Medical School, University of Athens, ATTIKON University General Hospital, Chaidari 12462, Greece
George C Babis, Second Department of Orthopaedics, Medical School, University of Athens, Nea Ionia General Hospital, Athens 14233, Greece
Author contributions: Sakellariou VI and Babis GC solely contributed to this paper.
Correspondence to: George C Babis, MD, PhD, Professor and Chairman of Orthopaedics, Second Department of Orthopaedics, Medical School, University of Athens, Nea Ionia General Hospital, 3-5 Ag. Olgas Street, Athens 14233, Greece. george.babis@gmail.com
Telephone: +30-213-2057956 Fax: +30-213-2057783
Received: December 23, 2013
Revised: July 11, 2014
Accepted: July 18, 2014
Published online: November 18, 2014
Revised: July 11, 2014
Accepted: July 18, 2014
Published online: November 18, 2014
Core Tip
Core tip: Massive osteolysis, stress-shielding, periprosthetic infections or multiple revisions can consist the most common etiologies for extensive loss of bone stock of the proximal femur. The amount of femoral bone loss and the bone quality of the remaining metaphyseal and diaphyseal bone dictate the selection of appropriate reconstructive option. These include the use of impaction allografting, distal press-fit fixation, allograft-prosthesis composites and tumor megaprostheses. The present study is a concise review of the current literature presenting an algorithmic approach for reconstruction of different types of proximal femoral bone defects.