Volume 3, Issue 3, Pages (September 2017)

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Volume 3, Issue 3, Pages 154-159 (September 2017) Total femur arthroplasty for revision hip failure in osteogenesis imperfecta: limits of biology Pablo Sanz-Ruiz, PhD, MD, Manuel Villanueva-Martinez, PhD, MD, Jose Antonio Calvo-Haro, PhD, MD, Esther Carbó-Laso, PhD, MD, Javier Vaquero-Martín, PhD, MD Arthroplasty Today Volume 3, Issue 3, Pages 154-159 (September 2017) DOI: 10.1016/j.artd.2017.01.001 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Sinus tract on the lateral surface of the thigh (a); radiograph views showing disruption and the presence of pseudoarthrosis (b and c). Arthroplasty Today 2017 3, 154-159DOI: (10.1016/j.artd.2017.01.001) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Views of first step surgery. Note the bone defect due to septic pseudoarthrosis (a and b), the segmental cement spacer (c) in the intraoperative views and X-ray control of the segmental spacer (d and e). Arthroplasty Today 2017 3, 154-159DOI: (10.1016/j.artd.2017.01.001) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Intraoperative views of second step surgery. Observed in images a and b note the segmental bone defect after stem insertion. In images c and d note the reconstruction with cortical and morcellized allograft, in conjunction with a cable plate. Arthroplasty Today 2017 3, 154-159DOI: (10.1016/j.artd.2017.01.001) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Postoperative views of second step surgery. (a) Two months after patient finished teriparatide treatment. (b) Five months after patient finished teriparatide treatment. Arthroplasty Today 2017 3, 154-159DOI: (10.1016/j.artd.2017.01.001) Copyright © 2017 The Authors Terms and Conditions

Figure 5 Intraoperative and postoperative views after replacement of the femoral component. Note stem extraction without signs of integration (a); trochlear bone defect due to stem protrusion (b); full length weightbearing x-ray (c) and lateral (d) view 2 years after surgery with out any signs of fracture, subsidence or loosening; clinical image of patient (e); He can walk with the help of two crutches. Arthroplasty Today 2017 3, 154-159DOI: (10.1016/j.artd.2017.01.001) Copyright © 2017 The Authors Terms and Conditions