Titlebook: Revision of loose femoral prostheses with a stem system based on the "press-fit" principle; A concept and its sy Pierre Béguec,Hans-Peter S

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Determining a Surgical Strategyl analysis of the various parameters, which, according to A.C. Masquelet, allow to “base one’s deduction on facts and events”. These “facts and events”, considered as a whole, are often in contradiction with the prior objective of every cementless arthroplasty, which is the necessity to achieve, in any case, a perfect primary stability.

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The PFM-Revision SystemThe PFM-Revision system of first generation consists in a set of femoral stems made of Ti 6A17Nb titanium alloy (Protasul — 100). Each implant is made up of 2 parts: one proximal component and one distal component.

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Radiological Analysis of the FemurThe radiological analysis which has the goal of establishing a strategy for the planned revision should be differentiated from the radiological examination which will help to appreciate the result of that operation in the future.

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Option 1: Femoral FlapMaking a femoral flap osteotomy during revision surgery is a good way to avoid incidents and to ensure a perfect primary stability, which will always take place in the diaphyseal region of the femur when the femoral flap is performed.

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