Treatment of a Well-Fixed Modular Fully Porous Coated Stem After Fracture Using a Custom Rescue Sleeve

Matthew D. Beal*, Anthony Marchie, Eric Black, Henrik Malchau, Dennis Burke

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

We report a novel technique for the treatment of a fractured fully porous-coated modular stem. The fracture of the stem occurred at the taper of the stem-body junction. In both cases, the stem was well-fixed distally making the reconstruction difficult. Previously, authors have reported the use of an extended trochanteric osteotomy or multiple cortical windows for removal of this type of prosthesis. The technique we describe uses a custom-made "rescue sleeve" that takes advantage of the distal ingrowth. The rescue sleeve is fitted onto the existing stem obviating the need for an extended trochanteric osteotomy. The rescue sleeve's geometry makes up for the loss in height and accepts the modular body components to give the surgeon the length options to optimize stability.

Original languageEnglish (US)
Pages (from-to)1301-1303
Number of pages3
JournalJournal of Arthroplasty
Volume25
Issue number8
DOIs
StatePublished - Dec 2010

Keywords

  • Extended trochanteric osteotomy
  • Full coat
  • Modular stem
  • Stem fracture

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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