Revision of a BFX total hip replacement stem using a Kyon stem and a head adaptor in two dogs

Vet Comp Orthop Traumatol. 2017 Jan 16;30(1):81-87. doi: 10.3415/VCOT-16-05-0070. Epub 2016 Nov 16.

Abstract

Objective: To report revision of BFX cementless press-fit stem loosening with a Kyon cementless stem and a head adaptor in two dogs.

Methods: Total hip arthroplasty stem revision was performed in two dogs with loosening of a previously implanted Biomedtrix press-fit BFX stem. Both dogs had a well-integrated BFX cup and single stage revision was performed using a standard Kyon stem and a head adaptor in order to couple with a 17 mm head and maintain the BFX cup.

Results: Revisions resulted in a stable functional prosthesis with successful bone integration at the one-year postoperative re-evaluation.

Conclusions: Use of a Kyon stem with a head adaptor may be a successful option to provide immediate stem stability for revision of a loosened BFX stem with a properly osseointegrated cup.

Keywords: Stem loosening; Zurich; arthroplasty; aseptic; dog; subsidence.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Arthroplasty, Replacement, Hip / instrumentation
  • Arthroplasty, Replacement, Hip / veterinary*
  • Bone Cements
  • Dog Diseases / surgery*
  • Dogs
  • Equipment Design / veterinary
  • Female
  • Hip Prosthesis / veterinary*
  • Lameness, Animal / surgery
  • Prosthesis Failure
  • Reoperation / veterinary

Substances

  • Bone Cements