Published online Nov 18, 2014. doi: 10.5312/wjo.v5.i5.614
Revised: July 11, 2014
Accepted: July 18, 2014
Published online: November 18, 2014
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.