The purpose of this study was to compare results of patients with Paprosky type I and II femoral defects vs type IIIA, IIIB, and IV defects in patients undergoing revision hip arthroplasty. There were 64 patients in the group with type I and II defects with an average age of 68 years. There were 52 patients with Paprosky type IIIA, IIIB, and IV defects with an average age of 67 years. There were 8 intraoperative fractures in the type III and IV group, whereas there were 9 in the type I and II group. There were no differences between the 2 groups with respect to subsidence, loosening, dislocation, infection, and medical complications. Survivorship for the whole group was 96.9% at 5 years. Modular femoral implants provide several intraoperative options to restore leg length, offset, and stability despite femoral defects. We did not realize a higher failure rate in patients with type III or IV defects.
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Published online: June 28, 2012
Accepted: March 19, 2012
Received: May 4, 2011
Supplementary material available at www.arthroplastyjournal.org.
The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2012.03.039.
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.