Conversion of a Long Distally Fixed Uncemented Revision Femoral Stem to a Proximally Fixed Implant following Fatigue Fracture

There has been increasing focus on bone conservation through proximal fixation in primary hip arthroplasty. However, the debate regarding fixation in revision arthroplasty and which factors influence implant choice remains less clear-cut. We report a case involving fatigue fracture of a long, distal...

Full description

Saved in:
Bibliographic Details
Published in:Hip international 2011-11, Vol.21 (6), p.766-769
Main Authors: Young, Peter S., Middleton, Rory G., Learmonth, Ian D., Minhas, Tahawwar Hasnat A.
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Hip - adverse effects
Cementation
Femur - surgery
Fractures, Stress - etiology
Fractures, Stress - surgery
Hip Prosthesis
Humans
Male
Middle Aged
Periprosthetic Fractures - etiology
Periprosthetic Fractures - surgery
Postoperative Complications
Prosthesis Design
Prosthesis Failure
Reoperation
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:There has been increasing focus on bone conservation through proximal fixation in primary hip arthroplasty. However, the debate regarding fixation in revision arthroplasty and which factors influence implant choice remains less clear-cut. We report a case involving fatigue fracture of a long, distally well-fixed, uncemented revision stem. This was revised to a proximally fixed implant. This case highlights a number of issues when considering the choice of implant in hip revision surgery and raises the issue of bone conservation in revision surgery. We would suggest that in both primary and revision hip arthroplasty meticulous pre-operative consideration of the choice of implant should be undertaken, especially in the younger patient with higher expectations and functional demands.
ISSN:1120-7000
1724-6067
DOI:10.5301/HIP.2011.8859