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OrthoVellum

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Not affiliated with the Royal Australasian College of Surgeons.

Adult Reconstruction
intermediate
X-Type

Modular Stems in Hip Arthroplasty

Femoral Components

A 68-year-old man requires revision hip arthroplasty for aseptic loosening with significant proximal femoral bone loss (Paprosky IIIA). The surgeon is considering a modular fluted tapered stem with a proximal body to restore offset and version. The patient asks about the advantages and potential complications of modular femoral stems. Regarding modular stems in hip arthroplasty:

Mark each as TRUE or FALSE

A

Modular stems consist of a distal (or mid-stem) fixation component and a proximal body that allows i...

B

Indications for modular stems include revision THA with proximal bone loss, complex primary cases (d...

C

Modular stems are simpler than monoblock designs; there are no additional failure modes; corrosion n...

D

Potential complications include fretting corrosion at the modular junction (mechanically assisted cr...

E

Distal fixation options include tapered fluted designs (axial and rotational stability from diaphyse...

Answer the questions to see explanations

Click T (True) or F (False) for each option