Long-term performance of exteriorized femoral stem after cortical perforation in revision cemented total hip replacement.
This is the first published report of a long-term, fourteen years close annual follow-up of a patient who underwent revision total hip replacement with per-operative anterior cortical perforation of femur while undertaking cemented femoral stem insertion. This patient has complete satisfaction in terms of clinical and radiological outcome. This patient has been walking full weight bearing on her operated leg after 3 months of her surgery. We advocate for the need of paying meticulous attention to observe this complication on operative table and to proceed with controlled stem insertion where doubt exist. Such patients may require a vigilant regular annual follow-up to observe their clinical and radiological status and an expectant approach may be adopted unless patient becomes symptomatic.
Department of Trauma and Orthopaedic Surgery, UPMC Beacon Hospital, Dublin, Ireland.
Aamir H
AH
Shaikh
Department of Trauma and Orthopaedic Surgery, UPMC Beacon Hospital, Dublin, Ireland.
Maurice
M
Neligan
D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D001843:Bone Cements; D002484:Cementation; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D011474:Prosthesis Design; D011475:Prosthesis Failure / Q000209:etiology*; D011859:Radiography; D012086:Reoperation; D016896:Treatment Outcome
D001843:Bone Cements