Notching of the Femoral Stem Neck in Metal-on-Metal Total Hip Replacement: A Case Report

We report a case of impingement in a metal-on-metal total hip replacement causing both notching of the femoral stem neck and aseptic loosening of the acetabular component. The acetabular component was inserted in excessive anteversion. The femoral stem and acetabular components were retrieved. A lar...

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Bibliographic Details
Main Authors: Ka-Hei Leung, Kwong-Yuen Chiu, Fu-Yuen Ng, Li Yin
Format: Article
Language:English
Published: SAGE Publishing 2013-04-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949901302100129
Description
Summary:We report a case of impingement in a metal-on-metal total hip replacement causing both notching of the femoral stem neck and aseptic loosening of the acetabular component. The acetabular component was inserted in excessive anteversion. The femoral stem and acetabular components were retrieved. A larger femoral head was used, and an acetabular component was placed in a less anteverted position. Intra-operative testing through different ranges of movement is recommended to identify potential impingement.
ISSN:2309-4990