Total hip arthroplasty using a short-stemmed femoral component in the presence of a proximal femoral fixation device - a case report.
A patient previously treated by cannulated screws fixation of a femoral neck fracture and plate and screw fixation of an ipsilateral shaft fracture presented for a total hip arthroplasty due to femoral head avascular necrosis. The cortical bone at the previous fracture site was weak and damage on the proximal femur was considered likely during removal of the plate. We were also concerned that a periprosthetic fracture might occur during or after the insertion of a conventional femoral stem. We used a short-stemmed femoral component for total hip arthroplasty in this patient, to avoid the risk of potential complications.
Kim
Tae-Young
TY
Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Dongan-gu, Anyang, South Korea.
Lee
Kee-Byoung
KB
Kwon
Duck-Joo
DJ
Ha
Yong-Chan
YC
Koo
Kyung-Hoi
KH
D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods; D016025:Bone Transplantation; D005265:Femoral Neck Fractures / Q000150:complications / Q000601:surgery; D005270:Femur Head / Q000293:injuries / Q000601:surgery*; D005271:Femur Head Necrosis / Q000209:etiology* / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged