REVISION TOTAL HIP-ARTHROPLASTY WITH CORRECTIONAL FEMORAL OSTEOTOMY IN PAGETS-DISEASE

Varus alignment of the femoral component is associated with femoral co mponent loosening in total hip arthroplasty performed for Paget's dise ase. Irregular and hemorrhagic bone, along with angular femoral deform ity, was encountered during revision total hip arthroplasty in three p agetic patients. A diaphyseal femoral osteotomy facilitated cement rem oval and provided an opportunity for correction of the deformity. The step-cut configuration of the osteotomy provided intrinsic rotational stability of the femoral segments around a modular, long-stem cementle ss implant. Excellent clinical and radiographic results were achieved, but moderate brood loss and delayed healing of the osteotomy site wer e observed.