Since 2009, we have been using the advantages of the OrthoClast System in our septic TEP explantations. Total number of septic TEP explantations (cemented/cementless) 581 of which septic cementless TEP explantations 217.
The aim is to loosen the bone-prosthesis interface with narrow, flexible chisels up to a working depth of 190mm to avoid iatrogenic fractures, and to avoid a transfemoral approach, especially in older patients with thin bone at risk of fracture. Precise preoperative planning is crucial here.
The OrthoClast system is routine in our clinic and is the standard instrument for implanting fixed cementless endoprostheses. In our opinion, there is no alternative to the system.
Since 2004, we have routinely used the OrthoClast System for the removal of fixed or only partially loosened cementless stems in aseptic and above all septic replacement arthroplasty of the hip joint (approx. 250 times per year).
In the case of straight stems without collars, the flexible thin chisels almost always succeed in loosening the prosthesis stem in a short time. But even long revision stems can be removed from the remaining distal fixation bed with the help of the OrthoClast System after a transfemoral approach has been performed. In our opinion, the OrthoClast System is the best tool to simplify the otherwise very difficult removal of fixed cementless stems.