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Vet Comp Orthop Traumatol 2013; 26(02): 130-134
DOI: 10.3415/VCOT-12-02-0028
Clinical Communication
Schattauer GmbH

En-bloc femoral cement removal after failure of cemented total hip replacement in two dogs

J. Song
1   Ohio State University, College of Veterinary Medicine, Veterinary Medical Center, Columbus, Ohio, USA
,
J. G. Sheehy
1   Ohio State University, College of Veterinary Medicine, Veterinary Medical Center, Columbus, Ohio, USA
,
J. Dyce
1   Ohio State University, College of Veterinary Medicine, Veterinary Medical Center, Columbus, Ohio, USA
› Author Affiliations
Further Information

Publication History

Received 26 February 2012

Accepted 02 October 2012

Publication Date:
18 December 2017 (online)

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Summary

In two dogs with periprosthetic infection after total hip replacement, the femoral cement mantle was retrieved by proximal extraction without an invasive osteotomy or cortical fenestration. En-bloc femoral cement removal was performed by injection of polymethylmethacrylate cement into the central mantle void left after stem removal, and by threading a positive profile pin into the newly injected cement. Once the PMMA had polymerized, the pin was withdrawn with the entire mantle attached. This technique should be considered in patients with circumferential deterioration of the femoral bone-cement interface in which the diameter of the femoral isthmus would not obstruct withdrawal of the cement mantle.

Keywords

Total hip replacement - explantation - polymethylmethacrylate cement
 

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