Cementless S-ROM femoral component: effect of stem length on stability after extended proximal femoral osteotomy.

U. T. Bhagia, R. S. Corpe, D. E. Steflik, T. R. Young, J. Schnars

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The extended proximal femoral osteotomy is becoming increasingly popular in revision total hip replacement. Our study was done to determine the femoral stem length required for stable fixation of a cementless femoral component after an extended proximal femoral osteotomy. Three lengths of the S-ROM femoral stem were implanted in paired cadaver femora and tested under torsional and axial loads. The results indicate that the standard (160 mm) and long (215 mm) stems do not provide adequate torsional stability after a 160 mm extended proximal femoral osteotomy. The extra-long (255 to 315 mm) stems provided significantly greater stability, suggesting that the extended proximal femoral osteotomy may need to be bypassed by more than 2 cortical diameters, especially when a flexible stem such as the S-ROM is used.

Original languageEnglish (US)
Pages (from-to)6-11
Number of pages6
JournalJournal of the Southern Orthopaedic Association
Volume10
Issue number1
StatePublished - Jan 1 2001

ASJC Scopus subject areas

  • General Medicine

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