Introduction: Periprosthetic fracture is the most common cause of reoperation after resurfacing arthroplasty. The majority of fractures associated with this kind of arthroplasty are mostly subcapital fractures. Inter- and sub-trochanteric fractures after resurfacing arthroplasty are rarely reported, and there is no consensus regarding the treatment of such fractures.
Case Report: We present the case of a patient in whom an intertrochanteric femoral fracture distal to a hip resurfacing implant was successfully managed by internal fixation with the use of a locking compression plate (LCP), after failed conservative management. We also discuss an in-depth literature review on the topic.
Conclusion: We believe that osteosynthesis is a better option than arthroplasty in the management of such injuries. Due to technical issues discussed in our paper, we believe LCP to be an optimal fixation device.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276584 | PMC |
http://dx.doi.org/10.13107/jocr.2019.v09.i06.1592 | DOI Listing |
Arch Bone Jt Surg
January 2024
Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical sciences, Mashhad, Iran.
Second-generation large-diameter head hip resurfacing (HR) arthroplasty has gained popularity in terms of its potential for minimal wear and the preservation of proximal femoral bone stock. HR faces challenges, such as increased hip fracture rates and adverse reactions to metal detritus, despite the fact that over one million metal-on-metal (MoM) arthroplasties have been performed globally. FDA issued warnings in 2011 and 2016 regarding higher failure rates in women and categorized MoM implants as high-risk, influencing U.
View Article and Find Full Text PDFBone Joint Res
January 2025
Department of Orthopaedics, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Aims: While cementless fixation offers potential advantages over cemented fixation, such as a shorter operating time, concerns linger over its higher cost and increased risk of periprosthetic fractures. If the risk of fracture can be forecasted, it would aid the shared decision-making process related to cementless stems. Our study aimed to develop and validate predictive models of periprosthetic femoral fracture (PPFF) necessitating revision and reoperation after elective total hip arthroplasty (THA).
View Article and Find Full Text PDFJ Am Acad Orthop Surg
December 2024
From the American Hip Institute Research Foundation (McCarroll and KuhnsDomb), Chicago, IL, and the American Hip Institute (KuhnsDomb), Chicago, IL.
Hip pain in active patients with early osteoarthritis can be quite debilitating, affecting mobility, quality of life, and overall well-being. Management of this patient population is challenging because arthroplasty implants inevitably have limited life expectancy while chondral damage can mitigate the benefits of arthroscopic or open hip preservation. A multifaceted, patient-specific approach to clinical decision making is crucial in this patient population, given their higher activity level and expectations compared with older cohorts.
View Article and Find Full Text PDFJSES Int
November 2024
Department of Clinical Sciences at Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Background: The humeral head resurfacing arthroplasty (HHR) is normally used as a hemi shoulder arthroplasty and has been in use for the treatment of Gleno-Humeral osteoarthritis (OA) of the shoulder for more than 30 years. Some studies, however, shows that anatomical total shoulder arthroplasty provides better improvement in function than a HHR for patients with OA. Reasons for this may be a progressive glenoid wear (GW) or loosening of the HHR.
View Article and Find Full Text PDFBMC Musculoskelet Disord
January 2025
Midlands Orthopaedics & Neurosurgery, 1910 Blanding Street, Columbia, SC, 29201, USA.
Background: Unrepaired chronic abductor tears may be a cause of residual pain and weakness after hip arthroplasty, but the current incidence is unclear.
Methods: From 1994 to 2009, the senior surgeon performed 1628 hip resurfacing and 864 total hip arthroplasties without identifying any gluteal tears. We recognized our first case of concomitant abductor tear during a hip resurfacing procedure in April 2009.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!