Minimally invasive hollow trephine technique is recommended for revision of broken uncemented and extensively porous-coated monolithic femoral stems: a review of three cases
Boris Steno1, Libor Necas2, Marian Melisik2, Jozef Almasi3
1Department of Orthopedics and Traumatology, University Hospital Bratislava, Slovakia
2Department of Orthopedics and Traumatology, University Hospital Martin, Slovakia
3Department of Orthopedics and Traumatology, General Hospital Dunajska Streda, Slovakia
Keywords: Femoral stem; fracture; hollow trephine; porous-coated; revision.
Abstract
Revisions of fractured, uncemented and extensively porous-coated femoral stems are challenging. In this article, we report three cases of revision surgeries for broken, cementless, and extensively porous-coated femoral stems with Solution™ stems (DePuy, Warsaw, Indiana). In all cases, minimally invasive endofemoral revision was successfully performed without femoral osteotomy or cortical fenestration. Removal of distal broken femoral stem was performed with hollow trephine technique under fluoroscopy. For revision arthroplasty of the femoral component, Solution™ stems of larger diameter were used. Endofemoral approach reduces duration of surgery and the amount of blood and bone loss. Minimally invasive technique for broken and uncemented femoral stem is recommended.