title: Intraoperative femoral fractures associated with cementless total hip arthroplasty.
abstract: Between 1982 and 1986, 56 femoral fractures associated with cementless total hip arthroplasty (THA) were evaluated and compared to a randomly selected cementless THA control group without fractures. Depending upon the femoral shaft location, these fractures were classified as Types I, II or III. There were 45 (80%) Type I, 9 (16%) Type II, and 2 (4%) Type III fractures. Patient evaluations were quantified using a modified d'Aubigne-Harris scoring system. Nonparametric statistical methodology was used for fracture and control group comparisons. Treatment protocols were divided into various modalities, depending upon fracture classification. Type I and Type II fractures have no long-term prognostic hazards associated with them (P greater than 0.1), while Type III fractures appear to have analogous clinical results (sample size was too small for statistical analysis).
authors.affiliation: Ohio State University, Columbus.
authors.forename: T H
authors.initials: TH
authors.lastname: Mallory
authors.forename: T J
authors.initials: TJ
authors.lastname: Kraus
authors.forename: B K
authors.initials: BK
authors.lastname: Vaughn
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements; D005260:Female; D005264:Femoral Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000209:etiology*; D006620:Hip Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000209:etiology*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography
chemical_list: D001843:Bone Cements