0
Case Reports   |    
Extreme Ectasia of the Femoral Diaphysis Secondary to Loosening of a Long Wagner StemA CASE REPORT
Morteza Kalhor, MD1; Hubert P. Nötzli, MD2; Michael D. Stover, MD3; Reinhold Ganz, MD4
1 Iran University of Medical Sciences, Firouzgar Medical Center, Tehran 15934, Iran
2 Department of Orthopaedic Surgery, University of Zurich, Balgrist Clinic, CH-8008 Zurich, Switzerland
3 Department of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL 60153
4 Department of Orthopaedic Surgery, University of Bern, Inselspital, CH-3010 Bern, Switzerland. E-mail address: reinhold.ganz@insel.ch
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at Inselspital, Bern, Switzerland

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Mar 01;86(3):590-594
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

We report an unusual case of a patient with a total hip replacement who had extreme femoral expansion around a loose Wagner revision stem. The technical requirements of revision surgery for the treatment of femoral ectasia depend largely on the magnitude of the bone loss. Treatment options include resection arthroplasty1,2, cortical strut allografting3,4, impaction allografting5-8, an allograft-prosthesis composite9-13, or the use of a custom-made pros-thesis14-16. In this particular patient, the degree of expansion presented a unique obstacle to proximal bone reconstruction. The purpose of this report was to describe our technique of volume reduction with primary distal femoral fixation. We believe that this technique preserves native bone and attempts to restore proximal femoral anatomy. Our patient was informed that data concerning her case would be submitted for publication.
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Hip
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    11/15/2013
    Louisiana - Ochsner Health System
    04/16/2014
    Ohio - OhioHealth Research and Innovation Institute (OHRI)