Revision of a Fractured Titanium Modular Revision Hip Stem Without Removal of the Well-Fixed Part of the Stem: A New Approach Using a Cemented Tube.
Fractured stem
Hip arthroplasty
Implant failure
Revision surgery
Journal
Arthroplasty today
ISSN: 2352-3441
Titre abrégé: Arthroplast Today
Pays: United States
ID NLM: 101681808
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
01
03
2020
revised:
26
04
2020
accepted:
28
04
2020
entrez:
23
6
2020
pubmed:
23
6
2020
medline:
23
6
2020
Statut:
epublish
Résumé
Component fracture is a rare cause for revision in total hip arthroplasty. For a fractured well-fixed long femoral stem, the options are limited. We sought to develop a technique to address this problem with lower morbidity. A newly developed cemented tube was constructed and cemented onto a fractured Revitan revision hip femoral stem to retain the distal well-fixed component. At the 2-year follow-up, the Harris Hip Score, pain level, and radiographic images were analyzed. At the 2-year follow-up, no radiological signs of loosening or failure could be observed. The patient's preoperative Harris Hip Score improved from 42.8 to 97 points. The pain level improved from 7/10 to 0/10. Our case report depicts excellent clinical and radiographic outcomes at 2-year follow-up by a newly developed cemented tube technique. This technique is a potential new option for revision of fractured well-fixed diaphyseal stems without major bone loss. Our successful results suggest this technique is worthy of consideration and further study.
Identifiants
pubmed: 32566718
doi: 10.1016/j.artd.2020.04.018
pii: S2352-3441(20)30082-0
pmc: PMC7298535
doi:
Types de publication
Case Reports
Langues
eng
Pagination
363-368Informations de copyright
© 2020 The Authors.
Références
J Biomed Mater Res B Appl Biomater. 2014 Aug;102(6):1217-22
pubmed: 24644238
Bone Joint Res. 2018 May 5;7(4):282-288
pubmed: 29922446
Bull Hosp Jt Dis (2013). 2015 Dec;73(4):229-32
pubmed: 26630464
Case Rep Orthop. 2015;2015:485729
pubmed: 25793134
J Bone Joint Surg Am. 2010 Jun;92(6):1518-21
pubmed: 20516329
J Arthroplasty. 2014 Jan;29(1):204-9
pubmed: 23648107
HSS J. 2016 Oct;12(3):250-254
pubmed: 27703419
J Arthroplasty. 2012 Aug;27(7):1382-8
pubmed: 22146383
J Bone Joint Surg Am. 2011 Jan 5;93(1):57-65
pubmed: 21209269
J Arthroplasty. 1999 Apr;14(3):355-68
pubmed: 10220191
J Orthop Sci. 2013 Jan;18(1):29-37
pubmed: 22945910
Lancet. 2018 Nov 3;392(10158):1662-1671
pubmed: 30496081
J Arthroplasty. 1995 Oct;10(5):575-80
pubmed: 9273366
J Bone Joint Surg Am. 2010 Jun;92(6):1522-5
pubmed: 20516330
Acta Orthop. 2013 Jun;84(3):326-7
pubmed: 23617704
PLoS One. 2015 Mar 30;10(3):e0121963
pubmed: 25823001
J Orthop. 2017 Mar 30;14(2):281-286
pubmed: 28392635
J Arthroplasty. 2013 Jan;28(1):196.e1-5
pubmed: 21798696
Lancet. 2005 Jul 9-15;366(9480):129-35
pubmed: 16005335
J Arthroplasty. 2009 Oct;24(7):1143.e1-5
pubmed: 18835691
Clin Orthop Relat Res. 2017 Mar;475(3):917-921
pubmed: 27484412
Arthroplast Today. 2016 Jan 11;2(1):11-14
pubmed: 28326390
BMC Musculoskelet Disord. 2010 Jan 04;11:3
pubmed: 20047653
J Arthroplasty. 2005 Dec;20(8):1084-8
pubmed: 16376269
J Arthroplasty. 2014 Apr;29(4):850-5
pubmed: 24120507
J Arthroplasty. 2011 Jun;26(4):665.e17-20
pubmed: 21498037
Bone Joint J. 2013 Aug;95-B(8):1134-8
pubmed: 23908432
J Med Case Rep. 2007 Dec 06;1:174
pubmed: 18062807
J Arthroplasty. 2019 Feb;34(2S):S181-S185
pubmed: 30348558
Arch Orthop Trauma Surg. 2019 Jul;139(7):913-920
pubmed: 30687872
J Arthroplasty. 2019 Jul;34(7):1423-1429
pubmed: 30904363