Reconstruction of The Proximal Femur in Hip Arthroplasty

In this book, we evaluated the clinical and the radiological outcomes of different reconstructive techniques used in the treatment of different types of bone defects in the proximal femur due to different causes in forty-one (41) patients that had hip arthroplasty, fifteen (15) prospective and twenty-six (26) retrospective. The prospective patients were five (5) done in Zagazig university hospitals, Egypt and ten (10) in Toronto East General hospital, Canada. The twenty-six (26) retrospective patients were twelve (12) done in Toronto East General hospital and fourteen (14) done in Oshwa hospital, Canada. The maximum follow up of the patients was five years from (1997 to 2002), the minimum follow up was one year from (2001 to 2002), {average three years}. Cemented stems were used in 10 patients who represent (25%) of all the patients. Cementless stems were used in 27 patients who represent (67.8%) of all the patients. One patient died 24 hours postoperative due to preoperative cardiac problems. The Harris hip score improved from a mean of 4.9 (0 to 14) before the surgery, to a mean of 60.5 (0 to 85) at the latest review after the surgery.