Fracture of the femur in revision hip arthroplasty with a fully porous-coated component.
Fifty-four consecutive femoral component revisions with uncemented fully porous-coated stems were retrospectively reviewed for the prevalence of intraoperative fracture. Fracture of the femoral diaphysis occurred during insertion of a curved stem in 8 (15%) hips. One additional distal fracture of the femur occurred during exposure of the hip. All fractures occurred with a curved femoral stem. Treatment for intraoperative fractures included open reduction and internal fixation with cortical strut grafts and cables followed by protected weight bearing. This was successful in 6 hips. Even with the use of a curved stem, we report a high prevalence of intraoperative fracture of the femur in revision hip arthroplasty.
Chappell
Jonathan D
JD
Department of Orthopaedics, University of North Carolina at Chapel Hill, North Carolina 27599-7055, USA.
Lachiewicz
Paul F
PF
D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005264:Femoral Fractures / Q000453:epidemiology* / Q000628:therapy; D006622:Hip Prosthesis; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011474:Prosthesis Design; D012086:Reoperation; D012189:Retrospective Studies