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Modular Stems: Advantages and Current Role in Primary Total Hip Arthroplasty

임승재|박윤수|박찬우
대한고관절학회 (The Korean Hip Society)|2018.09|Hip and Pelvis|제30권 제3호|pp. 147-155|DOI 10.5371/hp.2018.30.3.147

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참고문헌

키워드

Hip replacement arthroplastyModular stem

초록

Using modular femoral stems in total hip arthroplasty enables surgeons to make fine adjustments to individual joints and offers intraoperative flexibility. The concept of modularity has been developed in numerous shapes, resulting in a vast range of options. Among them, the greatest achievement has been made for prostheses with modular proximal sleeves. The use of these implants has resulted in excellent mid- to long-term results in a number of cases. Although the use of tapered stems with a broaching technique is gaining popularity in straightforward primary surgeries, modular femoral implants are still associated with a number of potential challenges (e.g., developmental dysplasia of the hip, infection sequelae, and skeletal dysplasia). Based on published results, it is advisable to consider it as an option for complicated cases where the proximal femur is severely deformed.

Abstract

Using modular femoral stems in total hip arthroplasty enables surgeons to make fine adjustments to individual joints and offers intraoperative flexibility. The concept of modularity has been developed in numerous shapes, resulting in a vast range of options. Among them, the greatest achievement has been made for prostheses with modular proximal sleeves. The use of these implants has resulted in excellent mid- to long-term results in a number of cases. Although the use of tapered stems with a broaching technique is gaining popularity in straightforward primary surgeries, modular femoral implants are still associated with a number of potential challenges (e.g., developmental dysplasia of the hip, infection sequelae, and skeletal dysplasia). Based on published results, it is advisable to consider it as an option for complicated cases where the proximal femur is severely deformed.

참고문헌 (57)

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Similar Outcomes between Monoblock and Modular Femoral Stems in Total Hip Arthroplasty with Shortening Osteotomy for Dysplastic Hips at Five Years: A Systematic Review with Meta-analysisChouhan Dushyant, Garg Ankit Kumar, Madegowda Arkesh, Nema Sandeep Kumar, Rai Alok대한고관절학회 · Hip and Pelvis2025 · 제37권 제1호Mid-term Results of Revision Total Hip Arthroplasty Using Modular Cementless Femoral Stems민병우, 예희욱, 이경재, 임경환, 장형규대한고관절학회 · Hip and Pelvis2015 · 제27권 제3호Late Onset Disassembly of a Modular Neck-stem Component after Cementless Hip Replacement without Dislocation: A Case Report and Review of LiteraturesAndreas Baikousis, Ioannis Papaioannou, Panagiotis Korovessis, Thomas Repantis대한고관절학회 · Hip and Pelvis2018 · 제30권 제3호Result of Modular Necks in Primary Total Hip Arthroplasty with a Average Follow-up of Four Years김근우, 남영준, 이제민, 한계영대한고관절학회 · Hip and Pelvis2016 · 제28권 제3호Management of Severe Bone Defects in Femoral Revision following Total Hip ArthroplastyLi Cao, Yicheng Li대한고관절학회 · Hip and Pelvis2024 · 제36권 제2호Ultra-Short Bone Conserving Cementless Femoral StemYoung-Hoo Kim대한고관절학회 · Hip and Pelvis2021 · 제33권 제4호

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