Fracture of the Neck of a Modern Cementless, Titanium Femoral Stem

Intraprosthetic fracture of a femoral component is a rare but devastating complication after total hip arthroplasty (THA). We present the case of a 68-year-old man who presented with acute hip pain approximately 8 years after a left THA with a modern cementless, titanium femoral component. Radiograp...

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Main Authors: Emmanuel Gibon, MD, PhD, Justin T. Deen, MD
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344120300686
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author Emmanuel Gibon, MD, PhD
Justin T. Deen, MD
author_facet Emmanuel Gibon, MD, PhD
Justin T. Deen, MD
author_sort Emmanuel Gibon, MD, PhD
collection DOAJ
description Intraprosthetic fracture of a femoral component is a rare but devastating complication after total hip arthroplasty (THA). We present the case of a 68-year-old man who presented with acute hip pain approximately 8 years after a left THA with a modern cementless, titanium femoral component. Radiographs revealed a fracture of the midportion of the neck of the stem, below the level of the trunnion. The patient underwent an isolated 1-component revision THA with a modular exchange. To our knowledge, this is the only reported case of a catastrophic failure fracture of this particular prosthesis.
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spelling doaj.art-192da2f140c54869a3b18ad4d586344d2022-12-21T19:25:23ZengElsevierArthroplasty Today2352-34412020-06-0162176179Fracture of the Neck of a Modern Cementless, Titanium Femoral StemEmmanuel Gibon, MD, PhD0Justin T. Deen, MD1Corresponding author. Division of Adult Reconstruction, Department of Orthopedics and Rehabilitation, University of Florida, 3450 Hull Road, Gainesville, FL 32607, USA. Tel.: +1 352 273 7002.; Division of Adult Reconstruction, Department of Orthopedics and Rehabilitation, University of Florida College of Medicine, University of Florida, Gainesville, FL, USADivision of Adult Reconstruction, Department of Orthopedics and Rehabilitation, University of Florida College of Medicine, University of Florida, Gainesville, FL, USAIntraprosthetic fracture of a femoral component is a rare but devastating complication after total hip arthroplasty (THA). We present the case of a 68-year-old man who presented with acute hip pain approximately 8 years after a left THA with a modern cementless, titanium femoral component. Radiographs revealed a fracture of the midportion of the neck of the stem, below the level of the trunnion. The patient underwent an isolated 1-component revision THA with a modular exchange. To our knowledge, this is the only reported case of a catastrophic failure fracture of this particular prosthesis.http://www.sciencedirect.com/science/article/pii/S2352344120300686THABroken stemTitanium stemCementless stem
spellingShingle Emmanuel Gibon, MD, PhD
Justin T. Deen, MD
Fracture of the Neck of a Modern Cementless, Titanium Femoral Stem
Arthroplasty Today
THA
Broken stem
Titanium stem
Cementless stem
title Fracture of the Neck of a Modern Cementless, Titanium Femoral Stem
title_full Fracture of the Neck of a Modern Cementless, Titanium Femoral Stem
title_fullStr Fracture of the Neck of a Modern Cementless, Titanium Femoral Stem
title_full_unstemmed Fracture of the Neck of a Modern Cementless, Titanium Femoral Stem
title_short Fracture of the Neck of a Modern Cementless, Titanium Femoral Stem
title_sort fracture of the neck of a modern cementless titanium femoral stem
topic THA
Broken stem
Titanium stem
Cementless stem
url http://www.sciencedirect.com/science/article/pii/S2352344120300686
work_keys_str_mv AT emmanuelgibonmdphd fractureoftheneckofamoderncementlesstitaniumfemoralstem
AT justintdeenmd fractureoftheneckofamoderncementlesstitaniumfemoralstem