alexa Reduced Leg Lengthening found with a Modular Hip Hemiarthroplasty Stem versus the Monoblock Equivalent | OMICS International
ISSN: 2167-1222

Journal of Trauma & Treatment
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Research Article

Reduced Leg Lengthening found with a Modular Hip Hemiarthroplasty Stem versus the Monoblock Equivalent

Pegrum J1,2*, Giannakakis N2, Subramanian P3, Abbas D2 and Pearce O2
1Honorary Research Associate Queen Mary University Sports and Exercise Department, Mile End Road, London, E1 4NS, UK
2Milton Keynes Foundation Hospital, Standing Way Eaglestone, Eaglestown, Milton Keynes, Buckinghamshire MK6 5LD, UK
3The Whittington Hospital, Magdela Avenue, London, N19 5NF, UK
Corresponding Author : Pegrum J
Milton Keynes Foundation Hospital, Standing Way Eaglestone Eaglestown
Milton Keynes, Buckinghamshire, MK6 5LD, UK
Tel: +44 1908 660033
E-mail: [email protected]
Received November 23, 2013; Accepted January 24, 2014; Published January 26, 2014
Citation: Pegrum J, Giannakakis N, Subramanian P, Abbas D, Pearce O (2014) Reduced Leg Lengthening found with a Modular Hip Hemiarthroplasty Stem versus the Monoblock Equivalent. J Trauma Treat 3:186. doi:10.4172/2167-1222.1000186
Copyright: © 2014 Pegrum J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

The frequency of hip fractures are increasing in the globally. Cemented implants offer less pain and improved mobility post operatively. To date there has been no comparison between The Exeter Trauma Stem (ETS), which is a monoblock single size stem versus the Joint Replacement Instrumentation (JRI), a modular cemented hip used in the treatment of intracapsular fracture neck of femur fractures. It was postulated that the monoblock single size stem would be more difficult to insert in smaller femoral canals, and as such would have a greater tendency to lengthen the leg and greater incidence of calcar fractures. Over a 2 year period we have reviewed, the operative complications and radiological outcomes of the JRI hip hemiarthroplasty stem with a matched group of ETS implants. The study
highlights the one-size-fits-all ETS system is more likely to be placed longer than a modular JRI system (p=0.01). There was no statistical difference in calcar fractures between the two prostheses. There were 40/99 JRI implants (40%) patients which required a smaller prosthesis than the ETS, these patients may have been over lengthened if the ETS was used. Careful radiographic pre-operative evaluation is required in order to avoid over lengthening the ETS prosthesis in patients with a narrow canal. A modular prosthetic design offers a valuable alternative to such a scenario.

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