Management bone loss of the proximal femur in revision hip arthroplasty: Update on reconstructive options

Figure 6 Newer stem designs with modular configuration have been associated with lower rates of subsidence and improved restoration of limb length and femoral offset. A: Anteroposterior (AP) radiograph of the left hip showing extensive bone loss of the proximal metaphyseal bone with significant diaphyseal bone loss (Paparosky type IIIB) secondary to periprosthetic hip infection. A antibiotic cement spacer was implanted after irrigation and debridement during the first stage of a two-stage exchange arthroplasty; B: AP radiograph of the same hip after the second stage using a distal fixation taper fluted stem.