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Open Access Case report

Revision of hip resurfacing arthroplasty with a bone-conserving short-stem implant: a case report and review of the literature

Florian Schmidutz*, Lorenz Wanke-Jellinek, Volkmar Jansson, Andreas Fottner and Farhad Mazoochian

Author Affiliations

Department of Orthopedic Surgery, University of Munich (LMU), Campus Grosshadern, Marchioninistraße 15, Munich, 81377, Germany

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Journal of Medical Case Reports 2012, 6:249  doi:10.1186/1752-1947-6-249

Published: 20 August 2012

Abstract

Introduction

Suitable treatment of early failure of total hip replacement is critical in younger patients, as bone stock is lost and the functional outcome is impaired.

Case presentation

We report the case of a 56-year-old Caucasian woman with early failure of hip resurfacing arthroplasty. While revision is usually performed with a conventional hip implant, this case report describes for the first time a revision procedure with a bone-conserving short-stem hip implant.

Conclusions

Our approach allows further conservation of femoral bone stock and provides a long-term solution to the patient, which maintains the possibility of using a conventional hip implant should a second revision become necessary.

Keywords:
Arthroplasty; Bone conservation; Hip resurfacing; Metaphyseal; Metha®; Revision; Short stem