Notas / Notes - Active Congress.......

MIÉRCOLES / WEDNESDAY
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seven hips were followed for an average 45 months (range
24-72). Initial distal fixation was achieved, and the proximal
segment was chosen to optimize hip center of rotation.
RESULTS
Clinically, mean Harris hip score improved from 36 to 84
(range 54-99). Radiographically, 94 hips were considered
stable, with no circumferential lucencies at the distal fixation
surface. Lucencies around the proximal segment were
common but did not compromise performance. Two hips
with type 3C deficiency migrated and required reoperation,
and one additional hip with type 3C defienciecy developed
a periprosthetic fracture that required revision. They were
each successfully revised to a larger implant of the same
design. Five other hips had non-progressive migration of 1-
2 mm. One stem in a 320 lb man fractured, and was revised
to a larger implant. Ten hips dislocated, with 6 being revised
by altering the modular proximal segment with no further
sequelae. There were 3 periprosthetic fractures successfully
treated with ORIF.
CONCLUSIONS
Distal fixation is well maintained with this distally fluted,
tapered titanium stem in the face of severe distal bone loss.