Revision Arthroplasty

Larger components to fill larger bone defects secondary to loosening, osteolysis, and/or infection
Higher incidence of fracture
Ddx control osteotomy may have been surgically placed to aid in removal of former prosthesis

Control perforation lateral femoral cortex, reduced by cerclage cable

Long stem revised femoral component with periprosthetic fracture

Insufficiency fracture lateral tibial plateau in patient with long revised left femoral stem

A B

Revision arthroplasty (A). Proximal femur resected due to large amount of osteolysis (B).

Revision arthroplasty with long femoral stem and large phalanged cup. Note inguinal hernia containing bowel.