The first was initial identification of the problem; next were problem revisions and confirmation of the identified problem and the last was recognition of hospital structural barriers.
Some of the same problems that cause failure for primary ESS could also be a problem for revision surgery.
A major problem in revision surgery is the loss of bone stock and the consequent difficulty in reconstructing a stable joint.
A major problem of revision surgery is the loss of bone stock [ 16, 18], which compromises implantation of a new prosthesis.
A better interference fit, however, may be a problem during revision surgery, as multiple attempts at dislodging the femoral head from the stem may end up damaging the trunnion, or the head may not disengage from the stem, necessitating revision of a (well-fixed) stem [ 50].
Concerning the problem of revision TAA in cases of excessive bone loss, little has been published and this has mostly focused on custom-made components and cement augmentation of cysts (Myerson and Won 2008, Lampert 2011, Hintermann et al. 2013, Ellington et al. 2013, Roukis and Prissel 2014, Prissel and Roukis 2014).
During the second decade of use, a number of cementless cup designs have shown durable fixation, but problems related to wear and osteolysis often compromise the results, and the surgeon can face serious problems in revision surgery because of extensive bone loss.
Nevertheless, it can cause significant problems during revision surgery.
The following code was used from the International Statistical Classification of Diseases and Other Health Problems, tenth revision (ICD10): Multiple Sclerosis - G35.
Furthermore, it may predispose to prosthetic migration, periprosthetic fractures, and to problems in revision arthroplasty (Willert et al. 1990).
