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Case Reports
. 2016 Jan 17;2016(1):rjv172.
doi: 10.1093/jscr/rjv172.

How to salvage a salvage endoprosthesis

Anil Haldar  1 , Shanjitha Kantharuban  2 , Aadhar Sharma  2 , Jerome A Davidson  2 , Timothy W R Briggs  2
Affiliations
Case Reports

How to salvage a salvage endoprosthesis

Anil Haldar et al. J Surg Case Rep. .

Abstract

Custom-made endoprostheses can be linked to existing well-fixed implants in the treatment of complex periprosthetic femoral fractures. By adopting this salvage approach, secure implants can be retained in favour of patients undergoing more tissue disruptive procedures such as total femoral replacements. In this piece, we present a unique case illustrating a salvage strategy for treating a failed cement-linked salvage endoprosthesis, a complex scenario which to our knowledge has never before been reported.

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Figures

Figure 1:
Figure 1:
Periprosthetic fracture distal tip of right total hip replacement.
Figure 2:
Figure 2:
Plate and Dall-Miles cable fixation of periprosthetic fracture.
Figure 3:
Figure 3:
Custom-made cement-linked internal proximal femoral replacement.
Figure 4:
Figure 4:
Existing distal femoral replacement with stem linked to custom-made internal proximal femoral component visible in upper half of the image.
Figure 5:
Figure 5:
Full length femur radiograph illustrating fatigue fracture in stem of original distal femoral component.
Figure 6:
Figure 6:
Retained proximal femoral component with new custom-made cement-linked distal femoral prosthesis visible in lower half of the image.
Figure 7:
Figure 7:
New custom-made distal femoral prosthesis cement-linked to original salvage proximal femoral component visible in upper half of the image.
See this image and copyright information in PMC

References

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