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The experiments were performed in goats that were subjected to a total hip arthroplasty using a femoral stem as previously described [ 6].
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We used a femoral stem of the same size as the last reamer.
In these cases, the use of a femoral stem extension has been suggested to provide adequate postoperative stability and to protect bone grafts from failing by fracture, disintegration, or non-union (Ghazavi et al. 1997, Engh and Ammeen 1999).
We investigated whether the surgical approach to the hip influences the quality and thickness of the cement mantle when using a straight femoral stem design.
We used a cemented femoral stem and cemented acetabular polyethylene cup in all patients.
Patients underwent THR using a cemented Exeter femoral stem component (Stryker Howmedica Osteonics, Mahwah, New Jersey).
Loss of periprosthetic BMD has also been reported after revision THA using a long uncemented femoral stem (Sköldenberg et al. 2006).
The treatment of periprosthetic femoral fracture after femoral revision using a long stem is more complex and challenging.
Our study is among the first to report on the clinical and radiographic assessment of periprosthetic femoral fractures after femoral revision using a long stem.
We found several important features that might influence the outcome of treatment for periprosthetic femoral fractures after femoral revision using a long stem.
We found several important features that might influence the outcome of treatment for periprosthetic femoral fractures after femoral revision using a long stem: 1) all cases were classified as Vancouver type B1. 2) 6 patients (55%) had a transverse fracture around the tip of the long stem.
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