Cemented total hip arthroplasty with retention of some existing hardware
Autor: | Joana Bento Rodrigues, João Paulo Freitas, Fernando Judas, Francisco M. Lucas |
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Rok vydání: | 2014 |
Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Arthroplasty Replacement Hip medicine.medical_treatment Bone Screws Dentistry Bone Nails Osteotomy Article Osteoarthritis Hip Fracture Fixation Fracture fixation Bone plate medicine Humans Femur Device Removal Femoral neck Hip surgery business.industry General Medicine Middle Aged Nail plate Arthroplasty Femoral Neck Fractures Prosthesis Failure Surgery medicine.anatomical_structure Cortical bone Hip Prosthesis Artroplastia Total da Anca business Bone Plates Computer hardware |
Zdroj: | Case Reports. 2014:bcr2014204821-bcr2014204821 |
ISSN: | 1757-790X |
Popis: | We report a case of a 63-year-old man who presented an end stage hip osteoarthritis 42 years after a proximal femoral osteotomy performed for the treatment of an intracapsular femoral neck fracture. A cemented total hip arthroplasty was implanted using a standard posterior approach. The osteotomy hardware was totally covered with a new cortical bone formation. A layer of bone tissue was removed, the screw heads were broken and the nail plate was also removed. The screw threaded portions were retained because they did not interfere with cemented femoral stem implantation. Fourteen years after total hip arthroplasty, the patient reported no pain and expressed high satisfaction with the surgery. The hip radiograph showed wear of the polyethylene cup and no periprosthetic osteolysis. Retention of hardware can be considered, especially in patients who have had hardware for several years, without any negative symptoms. |
Databáze: | OpenAIRE |
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