THE USE OF FEMORAL INTRAMEDULLARY NAILING AS AN INTERIM OR SALVAGE TECHNIQUE DURING COMPLICATED TOTAL HIP-REPLACEMENT

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.