A Custom Device to Couple Proximal and Distal Femoral Stems: A Case Report and Literature Review
Complex periprosthetic fractures may occur with existing ipsilateral hip and knee implants. These cases are challenging with few options. We report on a custom coupler used to connect a hinged distal femoral replacement to an existing revision hip stem. This option was preferred to a total replaceme...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344122002679 |
| _version_ | 1828032437026816000 |
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| author | Arturo Corces, MD John Heifner, MD Gabriel Zavurov, DO |
| author_facet | Arturo Corces, MD John Heifner, MD Gabriel Zavurov, DO |
| author_sort | Arturo Corces, MD |
| collection | DOAJ |
| description | Complex periprosthetic fractures may occur with existing ipsilateral hip and knee implants. These cases are challenging with few options. We report on a custom coupler used to connect a hinged distal femoral replacement to an existing revision hip stem. This option was preferred to a total replacement of the femur. The custom coupler maintained the anatomic attachments of the proximal femur, preserved abductor strength during ambulation, and mitigated the morbidity which may arise from a total femur replacement. At 15 months postoperatively, the patient reported no pain, did not demonstrate an antalgic gait pattern, and had satisfactory range of motion at the hip and knee. The literature displays clinical and biomechanical efficacy for coupling devices although complications and device failure are quite variable. |
| first_indexed | 2024-04-10T15:05:24Z |
| format | Article |
| id | doaj.art-7b9d9310a9704a87bc672494b70ac23c |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-04-10T15:05:24Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-7b9d9310a9704a87bc672494b70ac23c2023-02-15T04:28:27ZengElsevierArthroplasty Today2352-34412023-02-0119101089A Custom Device to Couple Proximal and Distal Femoral Stems: A Case Report and Literature ReviewArturo Corces, MD0John Heifner, MD1Gabriel Zavurov, DO2Larkin Hospital Department of Orthopaedic Surgery, Coral Gables, FL, USASt George’s University College of Medicine, Greta River, NY, USA; Corresponding author. St George’s University College of Medicine, 8905 SW 87th Ave, Miami, FL 33176, USA. Tel.: +1 305 667 8686.Touro College of Osteopathic Medicine, Harlem, NY, USAComplex periprosthetic fractures may occur with existing ipsilateral hip and knee implants. These cases are challenging with few options. We report on a custom coupler used to connect a hinged distal femoral replacement to an existing revision hip stem. This option was preferred to a total replacement of the femur. The custom coupler maintained the anatomic attachments of the proximal femur, preserved abductor strength during ambulation, and mitigated the morbidity which may arise from a total femur replacement. At 15 months postoperatively, the patient reported no pain, did not demonstrate an antalgic gait pattern, and had satisfactory range of motion at the hip and knee. The literature displays clinical and biomechanical efficacy for coupling devices although complications and device failure are quite variable.http://www.sciencedirect.com/science/article/pii/S2352344122002679connectorcouplerdistal femur replacementfemoral sleeveperiprosthetic fracture |
| spellingShingle | Arturo Corces, MD John Heifner, MD Gabriel Zavurov, DO A Custom Device to Couple Proximal and Distal Femoral Stems: A Case Report and Literature Review Arthroplasty Today connector coupler distal femur replacement femoral sleeve periprosthetic fracture |
| title | A Custom Device to Couple Proximal and Distal Femoral Stems: A Case Report and Literature Review |
| title_full | A Custom Device to Couple Proximal and Distal Femoral Stems: A Case Report and Literature Review |
| title_fullStr | A Custom Device to Couple Proximal and Distal Femoral Stems: A Case Report and Literature Review |
| title_full_unstemmed | A Custom Device to Couple Proximal and Distal Femoral Stems: A Case Report and Literature Review |
| title_short | A Custom Device to Couple Proximal and Distal Femoral Stems: A Case Report and Literature Review |
| title_sort | custom device to couple proximal and distal femoral stems a case report and literature review |
| topic | connector coupler distal femur replacement femoral sleeve periprosthetic fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2352344122002679 |
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