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Images illustrate revision of a Type B2 fracture using a 14-mm-diameter tapered fluted modular titanium stem. (A) A preoperative radiograph shows a fracture around a loose cemented stem. (B) An initial postoperative view shows position of the tapered stem. (C) The undersized stem has clearly subsided. (D) The patient was revised to a 20-mm stem and had excellent results at 12 months. A constrained liner had been used because of severe abductor deficiency and high risk of dislocation.
