Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, Vermont 05405, USA.
Femoral revision is difficult when the femoral canal exceeds 20 mm in diameter. For this subset of patients, we used a technique of cementing cortical allograft sleeves to a proximal ingrowth stem. The diameter of the allograft sleeves are matched to the diameter of the host femur. The stem-allograft construct provides initial stability with the opportunity for proximal bone ingrowth.
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