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However, osteoporosis and revision cases of pedicle screw substantially reduce screw holding strength and cause loosening.
Therefore, the results provide support for using a dual-tapered stem in revision cases with proximal bone loss.
Short-term clinical and radiographic results are encouraging and suggest that a second-generation modular rotating hinge component can be used successfully in selected salvage revision cases.
Translaminar screws can be a good salvage technique in some cases of severe deformities, infection, tumor, osteoporosis, and revision cases with altered anatomy.
Often, the longer stem is used for post-traumatic or revision cases while for rheumatoid patients the shorter stem is preferred.
Early results showed comparable postoperative knee scores and range of motion between the 2 groups despite the use of the rotating hinge component in more complex revision cases.
Revision cases were excluded.
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.
Thus, the dual mobility cup seems to be an efficient solution in revision cases for persistent dislocation of the THA.
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