Fracture of Fully-coated Femoral Stem after Primary Total Hip Arthroplasty for Nonunion of Intertrochanteric Fracture: A Case Report

Autor:	Kee Hyung Rhyu, Yoon Je Cho, Young Soo Chun, Hyung Suk Juh
Rok vydání:	2015
Předmět:	medicine.medical_specialty business.industry Nonunion Case Report Stem Femoral stem medicine.disease Surgery Cementless Hip arthroplasty Fracture Fracture (geology) Medicine Total hip arthroplasty Orthopedics and Sports Medicine Femur Intertrochanteric fracture business
Zdroj:	Hip & Pelvis
ISSN:	2287-3279 2287-3260
DOI:	10.5371/hp.2015.27.3.179
Popis:	Femoral stem fracture is an uncommon reason for the failure of total hip arthroplasty, with only 16 cases of fully coated stem fractures reported to date. Here we report a case in which a fully coated primary femoral stem fracture occurred after conversion to total hip arthroplasty for the non-union of an intertrochanteric fracture of the femur. Metallurgic evaluation of the etiology and mechanism revealed that the fracture was initiated by fatigue-related failure and completed by ductile failure on the posterior side of the fracture. Considering the recent trend of treating an intertrochanteric fracture with hip arthroplasty, possible stem failure should be considered, since most patients will have at least one of the known risk factors for stem fracture.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8195a14e9d2750d589b8100850223bb6 https://doi.org/10.5371/hp.2015.27.3.179 Zobrazit plný text záznamu Plný text ve formátu PDF