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Arthroplasty 2019
June 24-25, 2019
Volume 14
Journal of Orthopaedics Trauma Surgery and Related Research
Arthroplasty
June 24-25, 2019 | Rome, Italy
12
th
International Conference on
Midterm outcome of modular femoral cementless stem in complex primary & revision
hip arthroplasty
Muhammad Bilal Shafiq
Civil Hospital Karachi, Pakistan
Object:
The objective of this study was to assess the midterm clinical & radiological outcome of hip revision hip
replacement & complex primary arthroplasty by using modular Cementless femoral stem in our local population
Method:
This study was conducted in Liaquat National Hospital, Orthopedic department from June 2017 to Jan 2019. Patients
with Primary &Revised hip arthroplasty were included in the study in which modular femoral stemwith sleeve were used with a
minimum15monthsoffollowup.Patientswereassessedclinically&radiologicalat3months,6months,9months,12months&15
months.Antero posterior&lateral radiograph of replaced hipwere taken in every followup visit. Followup x-rayswere compared
withimmediatepostoperativex-raysforpedestalformation,endostealspotwelds,stressshielding,migration&corticalhypertrophy.
Result:
Total 32 patients underwent hip arthroplasty with modular femoral stem during the specified period. 29 patients met the
criteria for inclusion in the study. Gait improved substantially after revision hip replacement by modular femoral stem femoral
stem. Harris hip score was also improved substantially after hip replacement & value increased from 40.2 to 79.7. The Merle
DAubigne score indicated a mark reduction in pain. According to Engh et al osteointegration were present in 23(79.3%) stem.
Conclusion:
Midterm clinical & radiological outcome of femoral modular stem in revision hip arthroplasty & primary
hip replacement with anatomical difficulties is good with Paprosky type II & III A bone loss. Femoral modular stem is our
implant of choice in hip arthroplasty surgeries with proximal femoral bone loss.
Biography
Muhammad Bilal Shafiq is a dedicated professional, benefiting from experience working effectively as part of a multi-disciplinary team
in the civil hospital karachi and within other systems and administrations, gaining a good understanding of cultural and social issues.
Possessing a developed empathic, patient-centered philosophy of care with practical clinical skills.
m.bilalshafiq89@hotmail.comMuhammad Bilal Shafiq, J.Orthop.Trauma Surg.Relat.Res. | Volume 14
ISSN:2449-9145
(pre-operative)
(post-operative)
(follow up)