Revision total hip arthroplasty (THA) is projected to increase by 137% from the years 2005 to 2030. Reconstruction of the femur with massive bone loss can be a formidable undertaking. The goals of revision surgery are to create a stable construct, preserve bone and soft tissues, augment deficient host bone, improve function, provide a foundation for future surgery, and create a biomechanically restored hip. Options for treatment of the compromised femur include: resection arthroplasty, allograft prosthetic composite (APC), proximal femoral replacement, cementless fixation with a modular tapered fluted stem, and impaction grafting. The purpose of this article is to review the treatment options along with their associated outcomes in the more severe femoral defects (Paprosky types IIIb and IV) in revision THA.
Keyphrases
- total hip arthroplasty
- bone loss
- minimally invasive
- coronary artery bypass
- bone mineral density
- total knee arthroplasty
- surgical site infection
- climate change
- kidney transplantation
- early onset
- body composition
- acute coronary syndrome
- percutaneous coronary intervention
- current status
- reduced graphene oxide
- gold nanoparticles
- adipose tissue
- drug induced
- skeletal muscle
- glycemic control
- soft tissue