Revision hip arthroplasty can be challenging especially when difficulties to remove distal centralisers arise.
Case:
We report a case where we removed a well-fixed 1st-generation solid MS-30 distal centraliser combining standard cannulated trauma reamers and arthroscopical guidance. Such case has not been reported in the past and this technical tip can be useful in revision procedures of the specific implant.
MorscherEWSpotornoLMumenthalerA, et al. The cemented MS-30 stem. In: MorscherEW (ed) Endoprosthetics. Berlin: Springer, 1995, pp.211–219.
2.
HowieDWMiddletonRGCostiK.Loosening of matt and polished cemented femoral stems. J Bone Joint Surg Br1998; 80: 573–576.
3.
KusserowAFicklschererAKreuzPC, et al. Importance of a distal centralizer in experimental malpositioning of cemented stems. A biomechanical study on human femora. Arch Med Sci2015; 11: 1324–1329.
4.
BerliBJSchäferDMorscherEW.Ten-year survival of the MS-30 matt-surfaced cemented stem. J Bone Joint Surg Br2005; 8: 928–933.
5.
BrigstockeGHMitchellPARossonJW.Total hip arthroplasty with the MS-30 polished surface cemented stem: a single surgeon consecutive series study at 10 year follow-up. Eur J Orthop Surg Traumatol2014; 24: 63–66.
6.
BermanATSalterFLKoenigT.Revision total hip replacement without trochanteric osteotomy. Orthopedics1987; 10: 755–765.
7.
TomsADLeeseNGregsonPA, et al. The use of the cystoscope in revision hip arthroplasty. J Arthroplasty2001; 16: 543–564.
8.
GovaersKMeermansGStuyckJ, et al. Endoscopy for cement removal in revision arthroplasty of the hip. J Bone Joint Surg Am2006; 88(Suppl. 4): 101–109.
9.
PorschMSchmidtJ.Cement removal with an endoscopically controlled ballistically driven chiselling system. A new device for cement removal and preliminary clinical results. Arch Orthop Trauma Surg2001; 121: 274–277.
10.
CampbellDGRietveldJA.Technique for arthroscopic assisted revision hip arthroplasty. Int Orthop2001; 25: 236–238.
