Extract
We report an unusual case of a patient with a total hip replacement who had
extreme femoral expansion around a loose Wagner revision stem. The technical
requirements of revision surgery for the treatment of femoral ectasia depend
largely on the magnitude of the bone loss. Treatment options include resection
arthroplasty1,2,
cortical strut
allografting3,4,
impaction
allografting5-8,
an allograft-prosthesis
composite9-13,
or the use of a custom-made
pros-thesis14-16.
In this particular patient, the degree of expansion presented a unique
obstacle to proximal bone reconstruction. The purpose of this report was to
describe our technique of volume reduction with primary distal femoral
fixation. We believe that this technique preserves native bone and attempts to
restore proximal femoral anatomy. Our patient was informed that data
concerning her case would be submitted for publication.