Modular neck femoral stems

Following the recall of modular neck hip stems in July 2012, research into femoral modularity will intensify over the next few years. This review aims to provide surgeons with an up-to-date summary of the clinically relevant evidence. The development of femoral modularity, and a classification syste...

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Veröffentlicht in:The bone & joint journal 2013-08, Vol.95-B (8), p.1011-1021
Hauptverfasser: Krishnan, H, Krishnan, S P, Blunn, G, Skinner, J A, Hart, A J
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container_end_page 1021
container_issue 8
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container_title The bone & joint journal
container_volume 95-B
creator Krishnan, H
Krishnan, S P
Blunn, G
Skinner, J A
Hart, A J
description Following the recall of modular neck hip stems in July 2012, research into femoral modularity will intensify over the next few years. This review aims to provide surgeons with an up-to-date summary of the clinically relevant evidence. The development of femoral modularity, and a classification system, is described. The theoretical rationale for modularity is summarised and the clinical outcomes are explored. The review also examines the clinically relevant problems reported following the use of femoral stems with a modular neck. Joint replacement registries in the United Kingdom and Australia have provided data on the failure rates of modular devices but cannot identify the mechanism of failure. This information is needed to determine whether modular neck femoral stems will be used in the future, and how we should monitor patients who already have them implanted.
doi_str_mv 10.1302/0301-620x.95b8.31525
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source MEDLINE; Journals@Ovid Complete; Alma/SFX Local Collection
subjects Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - methods
Femur Neck
Hip Prosthesis - adverse effects
Humans
Metals - adverse effects
Prosthesis Design
Prosthesis Failure
Registries
Reoperation - instrumentation
Reoperation - methods
Treatment Outcome
title Modular neck femoral stems
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