Fracture risk of tapered modular revision stems: a failure analysis

Autor: Kilian Rueckl, MD, Peter K. Sculco, MD, Jonathan Berliner, MD, Michael B. Cross, MD, Chelsea Koch, BS, Friedrich Boettner, MD
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Arthroplasty Today, Vol 4, Iss 3, Pp 300-305 (2018)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2017.11.002
Popis: Fractures of well-ingrown femoral components are a rare and often challenging complication after revision total hip arthroplasty. Prior series have documented catastrophic failure at the modular junction of revision femoral components. However, to the authors' knowledge, there has been only 1 report of a mid-stem fracture of a modular tapered revision stem. The present article reports 2 cases of fatigue fractures (14 months and 10 years after implantation) of a tapered modular revision stem. It presents the results of the fracture surface analysis, discusses the etiology of failure, and presents the authors' recommendations on how to best avoid this complication. Keywords: Stem fracture, Tapered, Removal technique, Breakage, Failure
Databáze: Directory of Open Access Journals