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- Corey J Richards, Donald S Garbuz, Bassam A Masri, and Clive P Duncan.
- Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.
- Instr Course Lect. 2009 Jan 1; 58: 177-81.
AbstractPeriprosthetic fracture with preexisting severe loss of bone stock is a challenging condition to treat. Available surgical options can be divided into three categories: complex reconstruction of the deficient proximal femur with secure distal fixation; segmental substitution of the proximal femur with a megaprosthesis or allograft/stem composite; and distally fixed replacement with a modular stem, which acts as a scaffold around which the remaining deficient proximal bone can be assembled, to unite and possibly reconstitute.
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