Classifications In Brief: The Paprosky Classification of.

Paprosky Femoral Deficiency Classification Della Valle CJ, Paprosky WG. Classification and an algorithmic approach to the reconstruction of femoral deficiency in revision total hip arthroplasty.

Focusing on the femoral side, the Paprosky femoral bone loss classification may be used to describe the location of proximal femoral bone loss, characterize the degree of remaining supportive bone, and imply reconstructive options. Radiographic evaluation for this classification system is performed using plain radiographs to include an AP view of the pelvis, and AP and lateral views of the hip.

Information on demographics, preoperative acetabular and femoral bone deficiency (according to the Paprosky classification (14,15)), surgical treatment procedures and complications was collected. The following local complications were evaluated: Relevant blood loss (defined as requiring transfusion of erythrocyte concentrates), bone fissure, bone fracture, iatrogenic nerve damage, dislocation.

The AAOS classification system described by D'Antonio et al. 9 grades the acetabular defect in five types: segmental, cavitary or combined deficiencies, pelvic discontinuity, and arthrodesis. The Paprosky classification system 3 stratifies the degree of bone loss based on radiographic parameters to guide the identification of reconstructive.

Number 296 November, 1993 Classification of Femoral Abnormalities in THA 135 111. Combined FIG. 3. Combined defects: a combination of segmental and cavitary bone loss in the femur.This may result from osteolysis, stem movement, or iatrogenic circumstances. Cavitary defects are classified according to.

DePuy Synthes’ High Performance Bearing options. The CORAIL Revision Stem offers the surgeon a range of stems for mild to moderate situations (types 2 and 3A of Paprosky’s Classification8) making it suitable for the majority of revision cases. The CORAIL Revision Stem is also indicated for primary implantation in a cavernous femur.

Orthopaedic reconstruction of complex pelvic bone defects. Evaluation of various treatment methods 37 tory postoperative appearance, and some complica-tions encountered in the various procedures. ClASSIFICATION OF PElvIC BONE DEFECTS PAPROSKy ClASSIFICATION In the Paprosky classification, the evaluations are.

From the Paprosky classification system the acetabular defect was classified type III B with severe bone loss and impairment of the integrity of supporting structure. Kohler’s line was not intact. The direct lateral approach with the patient in a supine position was used.

Total hip arthroplasty is one of the most successful operation to be done and is definitely a rewarding procedure for both the surgeon and the patient. Ever since 3 days of low friction arthroplasty by Sir John Charnley, there has been considerable interest in improvement in the knowledge of surgical techniques and hip biomechanics. Over the past two decades there has been an exponential.

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Dr. Wayne Paprosky is an orthopedic surgeon in Winfield, Illinois and is affiliated with multiple hospitals in the area. He has been in practice for more than 20 years. Orthopedic surgeons.

The Paprosky- (7, 19), and the AAOS (American Academy of Orthopedic Surgeons) (5-6) classifications belong to the most widely used ones. Paprosky has developed two systems for classification of acetabular (Table 4) and femoral defects (Table 5), respectively. Acetabular and femoral defects must be separately assessed, although a combined.