[Femoral neck prosthesis in the case of femoral neck fracture and ipsilateral long stem-knee tumour prosthesis].
Femoral neck fracture in the case of a previously implanted ipsilateral tumour knee-prosthesis represents a challenging situation because of the long proximal stem of the knee implant. Avoiding total femur replacement, we implanted a femoral neck prosthesis (Eska Cut 2000) in a 65 year old patient to preserve as much of the femur free of implant as possible, minimizing the risk of a periprosthetic or interprosthetic fracture. At 2.5 years postoperatively, there were no signs of loosening, migration or periprosthetic fracture with a good functional result. In our case, the femoral neck prosthesis avoided the implantation of a total femur replacement. Nevertheless, this prosthesis must be considered critically and cannot be recommended as the standard implant for femoral neck fracture in the case of an ipsilateral long stem-knee prosthesis.
Eichinger
S
S
Orthopädische Universitätsklinik Erlangen-Nürnberg, Erlangen. stephan.eichinger@waldkrankenhaus.de
Forst
R
R
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee; D002813:Chondrosarcoma / Q000601:surgery*; D005265:Femoral Neck Fractures / Q000601:surgery*; D005269:Femur / Q000601:surgery; D005272:Femur Neck / Q000601:surgery; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D011474:Prosthesis Design; D012086:Reoperation