The use of a novel "conservative hip replacement" to reconstruct an osteoarthritic hip with an occluded femoral canal

Onur Berber, Sabastian N Sturridge, Ivor Vanhegan, Stephen R Cannon, Gordon W Blunn

    Research output: Contribution to journalArticlepeer-review

    Abstract

    This case report describes the successful use of a novel "conservative hip replacement" in conditions precluding the use of a standard total hip arthroplasty in a 70-year-old man. The femoral canal was occluded because of previous surgery for a bone tumor in the subtrochanteric region. The patient continues to do well at 4 years with minimal discomfort. At this interval, the Oxford Hip Score was 35. This conservative hip replacement has been developed to preserve bone stock and produce more physiologic loading of the proximal femur. Its design has been produced, using plain radiographs and computed tomography, to maximize "fit and fill" of the femur. The neck supports standard modular heads, allowing the use of any bearing surface. The prosthesis has been rigorously laboratory tested.

    Original languageEnglish
    Pages (from-to)e9-1571.e10
    JournalThe Journal of Arthroplasty
    Volume26
    Issue number8
    DOIs
    Publication statusPublished - Dec 2011

    Keywords

    • Acetabulum
    • Aged
    • Arthroplasty, Replacement, Hip
    • Bone Neoplasms
    • Femur
    • Fractures, Bone
    • Hip Joint
    • Hip Prosthesis
    • Humans
    • Male
    • Osteoarthritis, Hip
    • Prosthesis Design
    • Radiography
    • Range of Motion, Articular
    • Tibia
    • Treatment Outcome
    • Case Reports
    • Research Support, Non-U.S. Gov't

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