The surgical management of femoral osteolysis.

Fifteen patients underwent reoperation for failed total hip arthroplasty. At surgery, patients who had proximal femoral osteolysis with osseointegrated femoral components were managed with lesional treatment that included debridement and bone grafting. The femoral components included 7 extensively coated stems, 5 proximally coated stems, and 3 modular femoral components. At a minimum 5-year follow-up evaluation, all 15 femoral components remained radiographically stable. Graft material in contained defects appeared to consolidate radiographically. For selected patients, debridement and grafting of femoral osteolytic defects provide satisfactory intermediate term outcomes.