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Revision arthroplasty using a cemented femoral component
9%
99/1044
Impaction allografting of the femoral component
2%
24/1044
Proximal femoral replacement arthroplasty
83%
870/1044
Resection arthroplasty
3%
34/1044
Hip arthrodesis
1%
6/1044
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The patient has a periprosthetic fracture around a loose cemented femoral component. The proximal bone stock is poor; therefore, this fracture may be categorized as Vancouver 3-B. Hip arthrodesis and resection arthroplasty provide suboptimal results, particularly for ambulatory patients. Although impaction allografting may be an option to restore the bone stock in a younger patient, the latter procedure will be very difficult to perform when the proximal bone is poor in quality and fractured. Cementing another component into this wide femur is not an option. The best option for revision of the femoral component in this elderly patient is proximal femoral replacement arthroplasty.
3.7
(3)
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