Techniques for removal of the stem: transfemoral or intramedullary?

A. Toni, A. Sudanese, M. Tabarroni, F. Calista, F. A. Zappoli, L. Brizio, A. Giunti

Research output: Contribution to journalArticle

Abstract

Since 1981 a total of 76 reimplantations of the prosthetic stem have been performed, substituting 52 cemented stems and 24 cementless ones. Only 7 patients (9%) required transcortical access, 3 of these stems (43%) were not osteointegrated, while of the 69 reimplantations performed by intramedullary approach, only 4% of the stems did not achieve skeletal stabilization. A total of 43% of the stems reimplanted using an intramedullary approach were short (12-13 cm). The advantages of intramedullary access may be summarized by saying that diaphyseal cortical bone is saved; in the use of short prosthetic models. The transcortical technique is limited to a minority of patients, particularly to cases where stems that show osteointegration and are cementless are removed.

Original languageEnglish
Pages (from-to)419-423
Number of pages5
JournalLa Chirurgia degli organi di movimento
Volume79
Issue number4
Publication statusPublished - Oct 1994

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Replantation
Cortical Bone

ASJC Scopus subject areas

  • Medicine(all)

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Toni, A., Sudanese, A., Tabarroni, M., Calista, F., Zappoli, F. A., Brizio, L., & Giunti, A. (1994). Techniques for removal of the stem: transfemoral or intramedullary? La Chirurgia degli organi di movimento, 79(4), 419-423.

Techniques for removal of the stem : transfemoral or intramedullary? / Toni, A.; Sudanese, A.; Tabarroni, M.; Calista, F.; Zappoli, F. A.; Brizio, L.; Giunti, A.

In: La Chirurgia degli organi di movimento, Vol. 79, No. 4, 10.1994, p. 419-423.

Research output: Contribution to journalArticle

Toni, A, Sudanese, A, Tabarroni, M, Calista, F, Zappoli, FA, Brizio, L & Giunti, A 1994, 'Techniques for removal of the stem: transfemoral or intramedullary?', La Chirurgia degli organi di movimento, vol. 79, no. 4, pp. 419-423.
Toni A, Sudanese A, Tabarroni M, Calista F, Zappoli FA, Brizio L et al. Techniques for removal of the stem: transfemoral or intramedullary? La Chirurgia degli organi di movimento. 1994 Oct;79(4):419-423.
Toni, A. ; Sudanese, A. ; Tabarroni, M. ; Calista, F. ; Zappoli, F. A. ; Brizio, L. ; Giunti, A. / Techniques for removal of the stem : transfemoral or intramedullary?. In: La Chirurgia degli organi di movimento. 1994 ; Vol. 79, No. 4. pp. 419-423.
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