Femoral Neck Targeting - Early Implant Failure and Mal-positioning of Femoral Components

Early Implant Failure and Mal-positioning of Femoral Components

Follow-up studies of Metal on Metal(MoM) hip resurfacings have shown that some of the reasons for early implant failure are:

  1. Mal-orientation of the implant stem in relation to the femoral neck axis.
  2. Notching of the femoral neck during femoral head preparation.
  3. Exposed cancellous bone after implantation.

Calculating the true centre of the femoral neck in both antero-posterior (AP) and lateral planes is imperative in hip resurfacing surgery. This point of reference allows the surgeon to precisely position the femoral neck stem down the femoral neck. If this is not achieved, and mal-positioning of the femoral component occurs, early implant failure can result.

Read more about this topic:  Femoral Neck Targeting

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