New techniques in cement removal for revision total hip arthroplasty

Current Opinion in Orthopaedics

Volumn 7, Issue 1, 1996, Pages 2-8

  Sharkey, Peter F ^a   Hozack, William J ^a  

^a THOMAS JEFFERSON UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BONE CEMENT;

HUMAN; METHODOLOGY; PRIORITY JOURNAL; REOPERATION; SHORT SURVEY; TOTAL HIP PROSTHESIS;

EID: 0029871835     PISSN: 10419918     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001433-199602000-00002     Document Type: Short Survey

References (21)

1. Pellicci PM, Inglis AE, Salvati EA: Perforation of the femoral shaft during total hip replacement. J Bone Joint Surg Am 1980, 62:234-240.
2. Talab YA, States JD, Evarts CM: Femoral shaft perforation: a complication of total hip reconstruction. Clin Orthop 1979, 141:158-165.
3. Sydney SV, Mallory TH: Controlled perforation: a safe method of cement removal from the femoral canal. Clin Orthop 1990, 253:168-172. A technique of controlled femoral perforation during revision hip arthroplasty is detailed in this study. This technique was utilized in a series of 219 patients; 9 femoral fractures occurred postoperatively, but the authors indicate that only one fracture occurred at the site of a controlled perforation.
4. Klein AH, Rubash HE: Femoral windows in revision total hip arthroplasty. Clin Orthop 1993, 291:164-170. Access to the femoral cement during revision surgery was facilitated in this study by the use of a femoral window. The authors replaced the window and noted rapid healing with no perioperative fractures in 21 cases.
5. Nelson CL, Barnes CL: Removal of bone cement from the femoral shaft using a femoral windowing device. J Arthroplasty 1990, 5:67-69.
6. Eftekar NS: Rechannelization of cemented femur using a guide and drill system. Clin Orthop 1977, 123:29-31.
7. Harris WH, Indong O: A new power tool for removal of methylmethacrylate from the femur. Clin Orthop 1978, 132:53-54.
8. Magnus RE, Younger TI, Paprosky WG, Whitted G: A new technique for removal of cement and well-fixed cemented and cementless femoral implants. Published proceedings of the American Academy of Orthopedic Surgeons, 1993.
9. Younger TI, Bradford MS, Paprosky WG: Removal of a well-fixed cementless femoral component with an extended proximal femoral osteotomy. Contemp Orthop 1995, 30:375-380. A new extended proximal femoral osteotomy is easily repositioned with cerclage wires or cables and reliable healing was demonstrated.
10. Cameron HU: Proximal femoral osteotomy in difficult revision hip surgery: how to revise the unrevisable. Contemp Orthop 1989, 18:565-572.
11. Cameron HU: Use of a distal trochanteric osteotomy in hip revision. Contemp Orthop 1991, 23:235-238.
12. Peters PC, Head WC, Emerson RH: An extended trochanteric osteotomy for revision total hip replacement. J Bone Joint Surg Am 1993, 75:158-159. An extended trochanteric osteotomy that allows for wider exposure of the femoral canal is described. The results for 21 patients revealed union in 100% of cases, with no broken wires or trochanteric migration.
13. 2 laser in revision hip surgery. Contemp Ortho 1987, 15:17-22.
14. Chin AK, Moll FH, McCull MB, Hoffman KJ, Wuk H: An improved technique for cement extraction in revision total hip arthroplasty. Contemp Orthop 1991, 22:255-264.
15. Ekelund AL: Cement removal in revision hip arthroplasty: experience with bone cement added to the cavity in 20 cases. Acta Orthop Scand 1992, 63:549-551.
16. Schurman DJ and Maloney WJ: Segmental cement extraction at revision total hip arthroplasty. Clin Orthop 1992, 285:158-163.
17. Caillouette JT, Gorab RS, Klapper RC, Anzel SH: Revision arthroplasty facilitated by ultrasonic tool cement removal. Part II: histological analysis of endosteal bone after cement removal. Orthop Rev 1991, 20:435-440.
18. Gardiner R, Hozack WJ, Nelson C, Keating EM: Revision total hip arthroplasty using ultrasonically driven tools. A clinical evaluation. J Arthroplasty 1993, 8:517-521.
19. Klapper RC, Caillouette JT, Callaghan JJ, Hozack WJ: Ultrasonic technology in revision joint arthroplasty. Clin Orthop 1992, 85:147-154. Review of the authors' laboratory and clinical experience with ultrasonically driven cement removal tools. No deleterious effects to bone where cement had been removed by ultrasound were demonstrated. Clinically, ultrasound technology helped avoid inadvertent and controlled femoral perforations during revision surgery.
20. Klapper RC, Caillouette JT: The use of ultrasonic tools in revision arthroplasty procedures. Contemp Orthop 1990, 20:273-279.
21. McCallum JD, Hozack WJ: Recementing a femoral component into cement. Clin Orthop 1996, in press. In this study a femoral prosthesis was recemented into an existing stable cement mantle, that had been reshaped with ultrasonic tools, in 15 patients. Bone perforation and fracture were avoided and early follow-up suggested no adverse effect on the bone-cement interface was determined radiographically.