Literature DB >> 19760467

Case report: Cementless stem stabilization after intraoperative fracture: a radiostereometric analysis.

David Campbell1, Graham Mercer, Kjell G Nilsson, Stuart A Callary.   

Abstract

We present the case of a patient with intraoperative femoral fracture during THA, which was repaired using cerclage fixation and insertion of an hydroxyapatite-coated cementless stem. The patient was evaluated postoperatively using radiostereometry during a 2-year course, and despite a large amount of subsidence and rotation, stabilization occurred and was maintained by 6 months. By evaluating the pattern of stem migration after intraoperative fracture, this case shows, even in the presence of instability, a successful clinical outcome can be achieved using an hydroxyapatite-coated cementless stem.

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Year:  2009        PMID： 19760467      PMCID： PMC2816748          DOI： 10.1007/s11999-009-1082-5

Source DB:  PubMed          Journal:  Clin Orthop Relat Res        ISSN： 0009-921X            Impact factor:   4.176


  22 in total

1.  Good results with an uncemented proximally HA-coated stem in hip revision surgery: 62 hips followed for 2-13 years.

Authors:  Mats F Salemyr; Olof G Skoldenberg; Henrik G Boden; Torbjorn E Ahl; Per Y Adolphson
Journal:  Acta Orthop       Date:  2008-04       Impact factor: 3.717

2.  Does early micromotion of femoral stem prostheses matter? 4-7-year stereoradiographic follow-up of 84 cemented prostheses.

Authors:  J Kärrholm; B Borssén; G Löwenhielm; F Snorrason
Journal:  J Bone Joint Surg Br       Date:  1994-11

3.  Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation.

Authors:  W H Harris
Journal:  J Bone Joint Surg Am       Date:  1969-06       Impact factor: 5.284

4.  Intraoperative femoral fractures in cementless total hip arthroplasty.

Authors:  P F Sharkey; W J Hozack; R E Booth; R H Rothman
Journal:  Orthop Rev       Date:  1992-03

Review 5.  Femoral shaft fracture in porous and press-fit total hip arthroplasty.

Authors:  S A Stuchin
Journal:  Orthop Rev       Date:  1990-02

6.  Cerclage wires or cables for the management of intraoperative fracture associated with a cementless, tapered femoral prosthesis: results at 2 to 16 years.

Authors:  Keith R Berend; Adolph V Lombardi; Thomas H Mallory; Douglas J Chonko; Kathleen L Dodds; Joanne B Adams
Journal:  J Arthroplasty       Date:  2004-10       Impact factor: 4.757

7.  Intraoperative fracture of the femur in revision total hip arthroplasty with a diaphyseal fitting stem.

Authors:  R M Dominic Meek; Donald S Garbuz; Bassam A Masri; Nelson V Greidanus; Clive P Duncan
Journal:  J Bone Joint Surg Am       Date:  2004-03       Impact factor: 5.284

8.  Femoral fracture during non-cemented total hip arthroplasty.

Authors:  J T Schwartz; J G Mayer; C A Engh
Journal:  J Bone Joint Surg Am       Date:  1989-09       Impact factor: 5.284

9.  Management of periprosthetic fractures: the hip.

Authors:  Daniel J Berry
Journal:  J Arthroplasty       Date:  2002-06       Impact factor: 4.757

10.  Accuracy of migration analysis in hip arthroplasty. Digitized and conventional radiography, compared to radiostereometry in 51 patients.

Authors:  H Malchau; J Kärrholm; Y X Wang; P Herberts
Journal:  Acta Orthop Scand       Date:  1995-10
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