WebThe diameter of the new stem is determined by the fit and rigidity of the reamer during the femoral preparation. These are the general guidelines for femoral stem revision. Each implant manufacturer has specific recommendations and surgical technique for the specific device. The surgeon has the option of using a modular or nonmodular stem. WebSep 14, 2015 · Diaphyseal engaging press-fit stems are often paired with a cemented articular component which is described as a hybrid technique [ 10 ]. Therefore, a more helpful definition of stem length should define stems as metaphyseal-engaging stems (MES) or diaphyseal-engaging stems (DES). Metaphyseal-engaging stems
Intraoperative fracture of the femur in revision total hip …
WebThe fixation strength of fully cemented and diaphyseal-engaging stems has been studied. In a cadaveric study of 12 knees, Jazrawi et al. found that implants with cementless stems demonstrated more micromotion than cemented components of the same length [ 7 ]. WebMar 10, 2024 · When using this technique, a press-fit stem should achieve a minimum of 4 cm of diaphyseal fit . Regarding stem stability, the diameter of the stem should be considered in relation to the intramedullary canal; canal fill ratio (the stem diameter divided by the diameter of the intramedullary canal) should be > 0.85 to obtain a stable construct. pop\u0027s garage north myrtle beach
STEM: Press-Fit — Hip & Knee Book
WebAug 11, 2024 · Stem size can be templated preoperatively but is definitively determined intraoperatively. The purpose of this study was to determine if preoperatively acquired parameters, including patient demographics and imaging, could be used to reliably predict intraoperative humeral stem size. ... 0.39-0.72). Both of the above studies used … WebThe new 115 Restoration Modular stem pairs effortlessly simple instrumentation and technique with an extremely versatile implant. This is my go-to stem for all revisions and … WebA straight stem, in combination with a medially directed reaming, would result in a femoral component that overhangs medially, but an offset stem can re-center the femoral component and maintain the desired alignment. We hypothesized that diaphyseal fit plus this reaming technique can control limb coronal alignment and provide fixation. pop\u0027s garage asbury park