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b Marked medial displacement of the distal fragment after osteotomy in a revision case after a previous osteotomy fixed with plate and screws.
Medialization of the distal fragment after osteotomy (Fig. 8b) occurred in three cases (two primary cases and one revision case), but there were no significant clinical implications of the medialization during the follow-up period.
There was no medialization of the distal fragment (Fig. 9a) after osteotomy in 13 cases, while there was medialization of the distal fragment (Fig. 9b) after osteotomy in three cases (two primary cases and one revision case).
The neck was exchanged for a different neck to improve anatomical reconstruction in the revision case.
In this consecutive revision case series, early failures of femoral implants (at < 4 years) were studied.
The surgical procedures were quite heterogeneous and had operation times of 30 min for a laparoscopic removal of a gastric band up to 425 min for a laparotomy for a complex revision case (mean 130 [51] minutes).
Similar(50)
Revision cases were excluded.
However, osteoporosis and revision cases of pedicle screw substantially reduce screw holding strength and cause loosening.
All cases in this series were revision cases with a mean of 2.5 previous operations.
They advocated abundant bone grafting and plating for rigid fixation in revision cases.
This reinforces the favorable results of this type of implant in difficult revision cases.
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