PMC4253092_01
Exposure of the proximal femur is shown with the hook placed under the vastus ridge (A). With the osteotomy out of the way, the proximal femur is exposed and accessible (B-C).
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F8
Kirschner wires were used to facilitate removal of the femoral component distally (example shown in Figure 8C), and the femoral component was removed quite easily.
Pre-operative anteroposterior (AP) and lateral hip radiographs (A-B) demonstrating metaphyseal loosening of the femoral component.
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F11
Radiographs demonstrate proximal loosening of the femoral component in the metaphyseal region (Figure 11A-B).
Post-operative anteroposterior (AP) and lateral hip radiographs (A-B) demonstrating the revision femoral stem/head and repair of the iliac osteotomy using two 3.5 mm cortical screws.
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F12
Post-operative radiographs are shown approximately 3 months post-operatively (Figure 12A-B).
PMC4253092_02
Pre-operative anteroposterior (AP) and lateral hip radiographs (A-B) demonstrating metaphyseal loosening of the femoral component.
s13037-014-0032-7-13.jpg
PMC4253092_02_s13037-014-0032-7-13.jpg
F13
Radiographs demonstrate proximal loosening of the femoral component in the metaphyseal region (Figure 13A-B).
Post-operative anteroposterior (AP) and lateral hip radiographs (A-B) demonstrating the revision femoral stem/head, repair of the iliac osteotomy using two 3.5 mm cortical screws, and repair of the femoral corticotomy with a 3.5 mm cortical lag screw.
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PMC4253092_02_s13037-014-0032-7-14.jpg
F14
Six-month post-operative radiographs are shown (Figure 14A-B) and demonstrate consolidation of the iliac osteotomy.