Protection of the Femoral Trunnion During Acetabular Revision Hip Surgery—A Novel Technique

Protection of the Femoral Trunnion During Acetabular Revision Hip Surgery—A Novel Technique

Revision of a failed acetabular component in the presence of an intact femoral prosthesis comprises approximately 20% of revision total hip replacements performed by the senior author. During this procedure, the femoral trunnion is at risk of damage because of scratching from retractors, reamers, or...

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Main Authors: Abhijit C. Kawalkar, MBBS, MS (Orth), DNB (Orth), MNAMS, Nick Vertzyas, MBBS, FRACS(Orth), FA OrthA, Michael J. Neil, MBBS, FRCS Ed(ORTH), FRACS, FA OrthA
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Arthroplasty Today
Subjects:
Trunnion
Liner exchange
Cup-only revision
Silicon sleeve
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344120301874
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spelling doaj-aa38684b0c2f4de3add539cf2fe1ddb52020-11-25T04:01:35ZengElsevierArthroplasty Today2352-34412020-12-0164911913Protection of the Femoral Trunnion During Acetabular Revision Hip Surgery—A Novel TechniqueAbhijit C. Kawalkar, MBBS, MS (Orth), DNB (Orth), MNAMS0Nick Vertzyas, MBBS, FRACS(Orth), FA OrthA1Michael J. Neil, MBBS, FRCS Ed(ORTH), FRACS, FA OrthA2Orthopaedic and Joint Replacement Surgeon, Orange City Hospital and Research Institute, Nagpur, India; Corresponding author. Orange City Hospital and Research Institute, 1003, Neelkanth Apartment, Pande Layout, Khamla, Nagpur, 440025 Maharashtra, India. +Tel.: 919552149603.Orthopaedic Surgeon, & Chairman, Department of Orthopaedics, St Vincent’s Clinic and Private Hospital, Sydney, New South Wales, AustraliaConjoint Associate Professor UNSW, Adjunct Associate Professor U Notre Dame, Orthopaedic Surgeon and Director, St. Vincent's Bone and Joint, St Vincent’s Clinic and Private Hospital, Sydney, New South Wales, AustraliaRevision of a failed acetabular component in the presence of an intact femoral prosthesis comprises approximately 20% of revision total hip replacements performed by the senior author. During this procedure, the femoral trunnion is at risk of damage because of scratching from retractors, reamers, or other instruments. Scratching can result in mechanically assisted crevice corrosion or adverse local-tissue reaction or trunnionosis leading to implant failure. We have used a variety of techniques for protection of the femoral taper over the last 30 years. We describe our current method of taper protection, using a cut segment of #5 silicon laryngeal airway, which is a simple and effective method.http://www.sciencedirect.com/science/article/pii/S2352344120301874TrunnionLiner exchangeCup-only revisionSilicon sleeve
collection DOAJ
language English
format Article
sources DOAJ
author Abhijit C. Kawalkar, MBBS, MS (Orth), DNB (Orth), MNAMS
Nick Vertzyas, MBBS, FRACS(Orth), FA OrthA
Michael J. Neil, MBBS, FRCS Ed(ORTH), FRACS, FA OrthA
spellingShingle Abhijit C. Kawalkar, MBBS, MS (Orth), DNB (Orth), MNAMS
Nick Vertzyas, MBBS, FRACS(Orth), FA OrthA
Michael J. Neil, MBBS, FRCS Ed(ORTH), FRACS, FA OrthA
Protection of the Femoral Trunnion During Acetabular Revision Hip Surgery—A Novel Technique
Arthroplasty Today
Trunnion
Liner exchange
Cup-only revision
Silicon sleeve
author_facet Abhijit C. Kawalkar, MBBS, MS (Orth), DNB (Orth), MNAMS
Nick Vertzyas, MBBS, FRACS(Orth), FA OrthA
Michael J. Neil, MBBS, FRCS Ed(ORTH), FRACS, FA OrthA
author_sort Abhijit C. Kawalkar, MBBS, MS (Orth), DNB (Orth), MNAMS
title Protection of the Femoral Trunnion During Acetabular Revision Hip Surgery—A Novel Technique
title_short Protection of the Femoral Trunnion During Acetabular Revision Hip Surgery—A Novel Technique
title_full Protection of the Femoral Trunnion During Acetabular Revision Hip Surgery—A Novel Technique
title_fullStr Protection of the Femoral Trunnion During Acetabular Revision Hip Surgery—A Novel Technique
title_full_unstemmed Protection of the Femoral Trunnion During Acetabular Revision Hip Surgery—A Novel Technique
title_sort protection of the femoral trunnion during acetabular revision hip surgery—a novel technique
publisher Elsevier
series Arthroplasty Today
issn 2352-3441
publishDate 2020-12-01
description Revision of a failed acetabular component in the presence of an intact femoral prosthesis comprises approximately 20% of revision total hip replacements performed by the senior author. During this procedure, the femoral trunnion is at risk of damage because of scratching from retractors, reamers, or other instruments. Scratching can result in mechanically assisted crevice corrosion or adverse local-tissue reaction or trunnionosis leading to implant failure. We have used a variety of techniques for protection of the femoral taper over the last 30 years. We describe our current method of taper protection, using a cut segment of #5 silicon laryngeal airway, which is a simple and effective method.
topic Trunnion
Liner exchange
Cup-only revision
Silicon sleeve
url http://www.sciencedirect.com/science/article/pii/S2352344120301874
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