In order to find a solution, one must first understand the problem
Hip Revision
Current Concepts & Solutions
Cemented Fixation
Implant is affixed into the femoral canal using cement to aide in rapid initial fixation.
Highly polished or rough coated finishes
Cemented Stem Extraction
Proximal forces applied to the prosthesis, thereby breaking the cement-implant interface.
Progressive and systematic removal of embedded cement using chisels, osteotomes or ultrasonic cutters.
OPERATIVE TECHNIQUES ESTABLISHED
Uncemented Fixation
Implant is press-fit into the femoral canal and surface engineered to promote boney ingrowth.
Rough surfaced or HA coated finishes
Uncemented Stem Extraction
Clearing as much of the circumferential fixation at the proximal portion of the implanted prosthesis.
Use of flexible osteotomes and cutters to blindly drive down the anterior and posterior profiles of the implant.
OPERATIVE TECHNIQUE NOT ESTABLISHED