Jm. Hartford et Sb. Goodman, THE USE OF FEMORAL INTRAMEDULLARY NAILING AS AN INTERIM OR SALVAGE TECHNIQUE DURING COMPLICATED TOTAL HIP-REPLACEMENT, The Journal of arthroplasty, 13(4), 1998, pp. 467-472
When performing a revision total hip replacement complicated by infect
ion, severe osteolysis, comminuted periprosthetic fracture, and/or ext
ensive bone loss, a single-stage procedure may not be feasible. This s
tudy reports four cases of femoral intramedullary nailing as an interi
m or salvage technique during complicated total hip replacement. This
reconstruction provides axial and rotational stability of the femur wh
ile maintaining femoral alignment. Furthermore, this reconstruction fa
cilitates early mobilization and rehabilitation of the patient. This i
nterim reconstruction can be converted to a revision total hip replace
ment at a later time. Alternatively, the stabilized resection arthropl
asty may serve as a salvage technique if further reconstruction is not
indicated.