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

Figure 7 Multiple osteotomies allow for restoration of the anatomical axis of the femur, an easier access of the distal segment of the modular stem, thus reducing the risk of femoral fracture or perforation of the cortex. A: Anteroposterior (AP) radiograph of the left hip showing a cemented femoral component that is failed in varus, resulting in a slight angular malalignment of femur; B: AP radiograph of the same hip after revision of the femoral component using a modular stem, which combines both proximal metaphyseal and distal fixation due to the taper design and the distal flutes. A healed corrective osteotomy at the level of the mid-diaphysis facilitated the insertion of the stem and correction of the angular deformity to its neutral axis.