Treatment of periprosthetic fractures around total hip arthroplasty with an extensively coated femoral component.
Late periprosthetic fractures may occur around loose cemented femoral components, usually as a consequence of osteolytic bone deficiency. The management of these fractures should include revision total hip arthroplasty using techniques that achieve fracture healing and component stability. If a cementless component is to be used, osseointegration is desirable. Presented herein is a technique of revision total hip arthroplasty for this injury using a curved, extensively coated femoral component. Four cases have been followed for a minimum of 2 years. Each case achieved a good or excellent clinical outcome while radiographs demonstrated fracture healing and osseointegration.
Moran
M C
MC
University of Illinois, Chicago College of Medicine, USA.
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005264:Femoral Fractures / Q000209:etiology* / Q000601:surgery; D017102:Fracture Healing; D006622:Hip Prosthesis / Q000379:methods; D006801:Humans; D008297:Male; D016348:Osseointegration; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012086:Reoperation