The Transfemoral Approach

Description: With a non-transfemoral approach, the removal of the loose femoral prosthesis, the bone cement and the granuloma is difficult and time- and blood-consuming, especially in the revision of long stems, and is fraught with the risk of uncontrolled fractures and perforations of the defective bone. With the transfemoral approach, the femoral cavity is gently opened, facilitating the debridement and the preparation of the new implant seat distal to the bone defect. The acetabular component can be revised through the same approach. It is essential for subsequent bone healing to protect the overlying muscles and not to release them from the bone surface.
Prof. Heinz Wagner et Prof. Michael Wagner Schwarzenbruck/Nürnberg, Germany