Periprosthetic fragility fracture of the femur after primary cementless total hip arthroplasty

Autor:	Masanobu Hirao, Kazumasa Miyatake, Ryohei Takada, Tetsuya Tachibana, Atsushi Okawa, Tetsuya Jinno
Rok vydání:	2021
Předmět:	Reoperation musculoskeletal diseases Rheumatology Arthroplasty Replacement Hip Humans Femur Hip Prosthesis Periprosthetic Fractures Retrospective Studies
Zdroj:	Modern Rheumatology. 32:626-633
ISSN:	1439-7609 1439-7595
Popis:	Objectives Periprosthetic bone fragility due to stress shielding (SS) can be a risk factor of periprosthetic fracture after cementless total hip arthroplasty (THA). We aimed to obtain epidemiological information on periprosthetic fragility fracture of the femur (PPFF) after THA. Methods We retrospectively reviewed the medical records of 1062 hips that had undergone cementless THA. We evaluated the epidemiological data as well as the features of PPFFs. Results Of the 1062 hips, 8 (0.8%) were diagnosed with PPFFs. The survival rates, with the occurrence of PPFF as the end point, were 99.2% and 97.6% at 10 and 16 years postoperatively, respectively. When patients were classified as having either mild or severe SS on radiographs 5 years postoperatively, there was no significant difference in the survival rate, with PPFF as the end point. Conclusions In our cases, the incidence of PPFF after cementless THA was 0.8%.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b6b14d42ed0fb9a37c83e8ef756344d1 https://doi.org/10.1093/mr/roab025 Zobrazit plný text záznamu