impaction bone grafting

Implant Options

1.  Long stem cemented revision femoral stem

Modern cementing techniques
- removal of neocortex

Advantage
- use in all cases
- good with elderly fragile bone
- can use Abx cement (decreases infection rate)

Indications
- Paprosky Types I – IV
- very versatile

Technique

- complete removal / debridement of neocortex

Principles of Acetabular reconstruction

Restore centre of rotation
Restore acetabular integrity
Component containment
Secure fixation

Preoperatively planning

Know components in situ (esp if leaving femur)
Quantify and grade bone defects
Beware intrapelvic cement / cup (angiogram)