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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 5 Outcomes of different surgical techniques for the management of patients with poor quality of proximal femoral bone stock

From: Proximal femoral replacement for non-neoplastic conditions: a systematic review on current outcomes

Surgical technique

Complications

HHS pre–post difference

Direct mortality

Reoperation

Revision

Dislocation

Infection

Aseptic loosening

Component fracture

Periprosthetic fracture

PFR

1.4%

20.3%

15.4%

10.2%

7.4%

5.0%

0.2%

2.4%

 +33

Revision stem

2.3% [53]

11% [54]

13.2% [55]; 5.9% [53]

1.0% [54]; 3.0% [55]; 7.8% [53]

0.5% [54]; 2.9% [55]; 4.9% [53]

1.3% [54]; 3.1% [55]; 5.8% [53]

1.7% [56]; 2.3% [57]

0.5% [54]; 3.1% [53]

 +37 [53]

APC

0% [58]

60% [59]

16.8% [13]; 26.5% [59]; 14% [60]

12.8% [13]; 11.1% [59]; 8% [60]

6.9% [59]; 4% [60]

5.5% [59]; 12% [60]

1.4% [59]

allograft 5.6% femoral 2.8% [59]

 +41 [59]; +34 [61]

TFR

0% [62]

33% [63]

21–30% [64]; 18.5% [63]

6–28% [64]; 10% [63]

4–35% [64]; 19% [63]

4% [63]

0–11% [64]

0–1.3% [65]

 +14–35 [64]

Resection arthroplasty

10% [66]

8% [66]

–

–

15% [66]

–

–

–

Pain relief 85–100% [67]