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No 5 or 10 modular neck was necessary to stabilize the prosthesis.
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Both femoral component and modular neck are made of titanium vanadium alloy with the stem having a proximal plasma-spray coating.
Modular necks were introduced in total hip arthroplasty (THA) to improve restoration of hip-geometry and reduce dislocation-rates.
Although modular necks are considered an effective solution, their application in cases with wide variations in femoral anteversion remains to be elucidated.
In our study, 2 modular necks were revised.
155 hips were available for evaluation, including clinical and radiological outcome. 1 stem was revised for a periprosthetic fracture following trauma; 10 cups and 2 modular necks were revised (1 for breakage and 1 during cup revision).
At 10 years, stem survival was 100%, modular neck survival was 99% (CI: 95 100), and cup survival was 94% (CI: 87 97).
Given the current and emerging literature, the modular femoral neck is a bridge too far.
For the modular neck, a straight 0° long neck was selected, allowing fine positioning of the stem in relation to the cup.
The modular neck adapters were used in three different CCD-angles (130°, 135° and 140°) in combination with neutral, anteverted and retroverted (± 7.5°) versions to adjust the CCD-angle intraoperatively [ 4].
Revision of the neck due to head damage was not considered considered as modular neck failure; in those cases the neck is revised as a precautionary measure, and is not an index of stem failure.
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