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Conversion of a long distally fixed uncemented revision femoral stem to a proximally fixed implant following fatigue fracture.
- Source :
-
Hip international : the journal of clinical and experimental research on hip pathology and therapy [Hip Int] 2011 Nov-Dec; Vol. 21 (6), pp. 766-9. - Publication Year :
- 2011
-
Abstract
- 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.
- Subjects :
- Cementation
Fractures, Stress etiology
Humans
Male
Middle Aged
Periprosthetic Fractures etiology
Postoperative Complications
Prosthesis Failure
Reoperation
Treatment Outcome
Arthroplasty, Replacement, Hip adverse effects
Femur surgery
Fractures, Stress surgery
Hip Prosthesis
Periprosthetic Fractures surgery
Prosthesis Design
Subjects
Details
- Language :
- English
- ISSN :
- 1724-6067
- Volume :
- 21
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Hip international : the journal of clinical and experimental research on hip pathology and therapy
- Publication Type :
- Academic Journal
- Accession number :
- 22135015
- Full Text :
- https://doi.org/10.5301/HIP.2011.8859