Retrograde cement removal in periprosthetic fractures following hip arthroplasty

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IntroductionRevision of cemented hip arthroplasty after periprosthetic fractures of the femur is a demanding procedure. Many different technical devices have been developed for this purpose. This paper presents a new surgical technique of cement removal avoiding excessive exposure of the fracture site.Materials and methodsIn six patients with periprosthetic fractures of the femur following hip arthroplasty (Johansson Type II and III) cement removal was performed by means of advancing a retrograde nail through the intercondylar notch of the knee.ResultsIn all cases the cement was removed completely. Intraoperative complications or significant knee problems were not observed.ConclusionThe intracondylar approach provides a simple, rapid and less invasive technique for cement removal in revision hip arthroplasty.

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