A stem-allograft composite for femoral revision in total hip arthroplasty

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.