cortical strut grafts

Epidemiology

Ranges

- up to 4%

Clinical

Focal pain

- typically anterolateral thigh

- often tender

- corresponds to tip of stem

Aetiology

1.  Instability

Types

- early

- late / failed bony ingrowth

Cause

- micromotion at distal stem

Types

Peri-operative

- incurred during operation

Post operative

- related to osteolysis / trauma / infection

Follow up

1994 National Institutes of Health Consensus on THR