Fracture of the Proximal Body of a Modern Cementless Modular Fluted Tapered Stem

IF 1.5 Q3 ORTHOPEDICS Arthroplasty Today Pub Date : 2024-08-02 DOI:10.1016/j.artd.2024.101472
Brian C. Chung MD, Pranit Kumaran BS, Nathanael D. Heckmann MD, Daniel A. Oakes MD
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引用次数: 0

Abstract

Previous reports have described failures of modular fluted tapered femoral stems secondary to fatigue failure at the modular junction. However, the present study is the first reported case of modular fluted tapered femoral component failure involving atraumatic fracture of the proximal body following revision total hip arthroplasty. The failure occurred in a 52-year-old female with a history of postmenopausal osteoporosis on bisphosphonates who sustained an atraumatic fracture of the proximal body of a modular revision femoral stem. In the present case, revision THA utilizing a wider proximal body segment with proximal augmentation using strut allografts for biological and mechanical support provided the patient with a stable construct at 30-month follow-up.

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现代无水泥模块化凹槽锥形支架近端主体骨折
以前的报告曾描述过模块化凹槽锥形股骨柄因模块交界处的疲劳失效而导致的失败。然而,本研究是首次报道翻修全髋关节置换术后模块化凹槽锥形股骨组件失效并导致近端体创伤性骨折的病例。失败发生在一名52岁的女性患者身上,她有绝经后骨质疏松症史,并服用过双磷酸盐类药物,她的模块化翻修股骨柄近端体发生了创伤性骨折。在本病例中,翻修股骨头置换术采用了更宽的近端主体部分,并使用支柱异体移植物进行近端增高,以提供生物和机械支撑,使患者在30个月的随访中获得了稳定的结构。
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来源期刊
Arthroplasty Today
Arthroplasty Today Medicine-Surgery
CiteScore
2.90
自引率
0.00%
发文量
258
审稿时长
40 weeks
期刊介绍: Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.
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