The use of customized long stem hemiarthroplasty in ipsilateral femoral neck and pending shaft fracture: case report.
Most orthopaedic units do not have long stem femoral hemiarthroplasty prosthesis in their inventory. Situations that require replacement of the femoral head and internal fixation of the ipsilateral femoral shaft include femoral neck and shaft fracture as a result of either trauma or metastasis. The author reports on one technique of solving this problem by the use of an Austin-Moore hemiarthroplasty in combination with a half sawed Gross-Kempf (GK) intramedullary nail. The length of the GK nail was tailored according to the measured femoral length. The two implants were then impacted with a 4 cm overlap. Additional security was provided by the tension band wire placed between one of the distal locking holes in the nail and the hole in the Austin-Moore' implant and tunneled through the intramedullary nail.
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Department of Orthopaedics and Traumatology, Chinese University Of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
D000368:Aged; D001178:Arthroplasty / Q000379:methods*; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005270:Femur Head / Q000293:injuries*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D016474:Weight-Bearing