Titlebook: Uncemented Femoral Stems for Revision Surgery; The Press-fit Concep Pierre Le Béguec,François Canovas,Julien Batard Book 2015 Springer Inte

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Radiographic Analysis of the Femur and the degree of osteoporosis. For each parameter a specific classification is established..(.) ., evaluate the femur in the frontal and sagittal plane, two choices are possible: straight or curved femur. (.) .: evaluate all incidents that could have a weakening effect on the cortices and dependin

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Selection of a Surgical Strategyes (1) Endofemoral approach (or a trochanteric osteotomy) and primary stability in the proximal region of the femur (2) Trochantero-diaphyseal flap and press-fit effect in the diaphyseal region of the femur...

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Creation of a Femoral Flapurvature, perfect view in the isthmic region..Before turning the flap, all adhering fibers with cement and intra-articular have to be detached..Excise the fibrous tissues and granulomas of the articular cavity, working from the center towards the periphery..Remove the stem and finish the proximal de

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Femoral Flap and Diaphyseal Primary Stabilitymuscle and often associated with an osteotomy of the medial cortex. It’s length is about 15 ± 2 cm..Excision of a cement plug after complete excision of the intermediate cement. Calibrate the femur and verify the axis in the sagittal plane, a misjudging of the femoral axis is often at the origin of

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Evaluation of Osseointegration and Secondary Stabilitythickness...: Eliminate all criteria that do not clearly indicate a deficit of osseointegration such a “reactive” line or a reduction of the density of the cortical bone in the contact with the implant..Two femoral zones are identified: the proximal femur corresponding to Gruen zones 1, 2 and 6 and

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Book 2015hat will allow them to reach the desired goals. This is the first step to be made..The quality of a surgical procedure does not depend on the manual skills of the surgeon performing it, but on how he has prepared and performed the operation “virtually” before actually performing it. This is the seco

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