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Literature DB >> 3408311

Failure of the stem in total hip replacement. A study of aetiology and mechanism of failure in 13 cases.

U E Pazzaglia¹, F Ghisellini, D Barbieri, L Ceciliani.

Abstract

Thirteen failed stem of Total Hip Replacement were studied: 9 were Charnley THR from an homogeneous series, which gives an incidence of 2.4% of stem fractures with a follow-up of 9-16 years; 4 were Mueller THR. Fatigue fracture of the stem occurred by defective support of the proximal part of the femur, following resorption of the calcar. In all cases reactive tissue to foreign body particles, metal and polyethylene, was found where bone resorption occurred. In Mueller THR wear of the cup produced the large amount of polyethylene particles; in Charnley THR metal particles prevailed and corrosion of the stem is suggested to be the initiating factor.

Entities: Chemical Disease

Mesh：

Substances：
Metals
Polyethylenes

Year: 1988 PMID： 3408311 DOI： 10.1007/bf00449667

Source DB: PubMed Journal: Arch Orthop Trauma Surg ISSN： 0344-8444

16 in total

1. Fatigue fractures of the femoral component of Charnley and Charnley-Müller type total hip prostheses.

Authors: P Ducheyne; P De Meester; E Aernoudt; M Martens; J C Mulier
Journal: J Biomed Mater Res Date: 1975-07

2. The femoral stem/cement interface in total hip replacement.

Authors: V L Fornasier; H U Cameron
Journal: Clin Orthop Relat Res Date: 1976-05 Impact factor: 4.176

3. Factors in the mechanical failure of the femoral component in total hip prosthesis. Report of six fatigue fractures of the femoral stem and results of experimental loading tests.

Authors: M Martens; E Aernoudt; P de Meester; P Ducheyne; J C Mulier; R de Langh; P Kestelijn
Journal: Acta Orthop Scand Date: 1974

Failure of the stem in total hip replacement. A study of aetiology and mechanism of failure in 13 cases.

1. Fatigue fractures of the femoral component of Charnley and Charnley-Müller type total hip prostheses.

2. The femoral stem/cement interface in total hip replacement.

3. Factors in the mechanical failure of the femoral component in total hip prosthesis. Report of six fatigue fractures of the femoral stem and results of experimental loading tests.

4. Involvement of metal particles in loosening of metal-plastic total hip prostheses.

5. Some clinically relevant variables affecting the mechanical behaviour of bone cement.

6. "Modes of failure" of cemented stem-type femoral components: a radiographic analysis of loosening.

7. Failed femoral stems in total hip prostheses. A report of six cases.

8. Femoral stem failure in total hip replacement.

9. Fracture of the femoral component after total hip replacement. An analysis of fifty-eight cases.

10. Defects in failed stems of hip prostheses.

Review 1. Osteointegration of orthopaedic devices.

2. Stem-Sleeve Junction Failure of a Modular Femoral Hip System: a Retrieval Analysis.

Review 3. [Periprosthetic fractures. An interdisciplinary challenge].

4. Corrosion of Polished Cobalt-Chrome Stems Presenting as Cobalt Encephalopathy.