Ultrasonically driven instruments in the transfemoral approach--an aid to preservation of bone stock and reduction of implant length

M Fletcher; G J Jennings; P J Warren

doi:10.1007/s004020000176

Ultrasonically driven instruments in the transfemoral approach--an aid to preservation of bone stock and reduction of implant length

Arch Orthop Trauma Surg. 2000;120(10):559-61. doi: 10.1007/s004020000176.

Authors

M Fletcher¹, G J Jennings, P J Warren

Affiliation

¹ Department of Orthopaedic Surgery, Northwick Park Hospital, Harrow, Middlesex, UK.

PMID: 11110136
DOI: 10.1007/s004020000176

Abstract

The transfemoral approach to the femur with implantation of the Wagner SL stem provides a means of dealing with the difficult revision problems of extensive endosteolysis and with peri-prosthetic fractures. This surgical approach has been modified such that with the aid of an ultrasonically driven cement removal instrument (OSCAR) the length of the osteotomy is reduced, preserving bone stock, and it is possible to implant a shorter prosthesis in approximately 60% of cases.

Publication types

Comparative Study

MeSH terms

Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip* / methods
Data Interpretation, Statistical
Female
Hip Prosthesis*
Humans
Male
Middle Aged
Osteotomy* / instrumentation
Prosthesis Failure
Reoperation
Surgical Instruments*
Ultrasonography*