Postoperative fracture of the host femur in allograft-prosthetic reconstruction of the hip.
Massive allograft-prosthetic reconstruction of the proximal femur during revision total hip arthroplasty has yielded successful early results in cases of severe bone deficiency; however, recommendations differ as to the type of prosthesis to be employed and the method of achieving rigid fixation of the allograft. In regard to the bony configuration at the allograft-host junction, a step-cut osteotomy, a transverse osteotomy, and an oblique osteotomy have all been reported. A case is presented in which fracture of the host femur occurred distal to a step-cut osteotomy in osteoporotic bone.
University of Illinois at Chicago College of Medicine, USA.
M C
MC
Moran
D016025:Bone Transplantation; D005260:Female; D005264:Femoral Fractures / Q000209:etiology*; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012086:Reoperation; D014184:Transplantation, Homologous; D016896:Treatment Outcome