Posterior Femoral Single Limb Osteotomy for the Removal of Well-Fixed Modular Femoral Neck Components

  • Keith A Fehring OrthoCarolina Hip and Knee Center Charlotte, NC
  • J. Ryan Martin OrthoCarolina
  • Peter K Sculco Mayo Clinic Department of Orthopaedic Surgery Rochester, MN
  • Saaed Kalantari Mayo Clinic Department of Orthopaedic Surgery Rochester, MN
  • Robert T Trousdale Mayo Clinic Department of Orthopaedic Surgery Rochester, MN
Keywords: Femoral Osteotomy, THA, Revision THA

Abstract

Modular neck femoral components were introduced to optimize femoral neck anteversion, leg length, offset, and stability in total hip arthroplasty. However, concerns have been raised in recent years regarding early failure of these implants due to corrosion, pseudotumor, as well as fracture of the modular neck. Removing modular neck femoral implants is challenging as removal of the modular femoral neck leaves a proximally coated femoral stem level with the proximal bone of the femoral neck. We describe a posterior femoral single limb osteotomy  (posterior cut of an extended trochanteric osteotomy) for the removal of a modular neck femoral component.

Author Biographies

Keith A Fehring, OrthoCarolina Hip and Knee Center Charlotte, NC
MD
Peter K Sculco, Mayo Clinic Department of Orthopaedic Surgery Rochester, MN
MD
Saaed Kalantari, Mayo Clinic Department of Orthopaedic Surgery Rochester, MN
BS
Robert T Trousdale, Mayo Clinic Department of Orthopaedic Surgery Rochester, MN
MD

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Published
2017-07-01
How to Cite
Fehring, K. A., Martin, J. R., Sculco, P. K., Kalantari, S., & Trousdale, R. T. (2017). Posterior Femoral Single Limb Osteotomy for the Removal of Well-Fixed Modular Femoral Neck Components. Reconstructive Review, 7(2). https://doi.org/10.15438/rr.7.2.170
Section
Case Report

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