Obtaining soft tissue balance and correct tension across a total hip arthroplasty can be challenging. This is particularly so following revision of a proximally deficient femur. Although stability of the hip arthroplasty is the paramount concern, limb length inequality is a consideration that is of importance to both surgeon and patient. We describe a novel adaptation in instrumentation to help the surgeon faced with these problems when using cemented Exeter components.
NelissenR.G., BauerT.W., WeidenhelmL.R., LeGolvanD.P., MikhailW.E.. Revision hip arthroplasty with the use of cement and impaction grafting. Histological analysis of four cases.J Bone Joint Surg (Am)1995; 77-A: 412–22.
2.
AllanD.G., LavoieG.J., McDonaldS., OakeshottR., GrossA.E.. Proximal femoral allografts in revision hip arthroplasty.J Bone Joint Surg (Br)1991; 73-B: 235–40.
3.
HeadW.C., WagnerR.A., EmersonR.H., MalininT.I.. Revision total hip arthroplasty in the deficient femur with a proximal load-bearing prosthesis.Clin Orthop1994; 298: 119–26.
4.
CrawfordS.A., SineyP.D., WroblewskiB.M.. Revision of failed total hip arthroplasty with proximal femoral modular cemented stem.J Bone Joint Surg (Br)2000; 82-B: 684–8.