Femoral prosthesis neck fracture following total hip arthroplasty - a systematic review.
Corrosion
Fatigue fracture
Total hip arthroplasty
Trunnionosis
Journal
Arthroplasty (London, England)
ISSN: 2524-7948
Titre abrégé: Arthroplasty
Pays: England
ID NLM: 101773073
Informations de publication
Date de publication:
16 Oct 2020
16 Oct 2020
Historique:
received:
28
05
2020
accepted:
17
09
2020
entrez:
3
3
2022
pubmed:
16
10
2020
medline:
16
10
2020
Statut:
epublish
Résumé
Head-neck modularity was introduced into total hip arthroplasty to provide more intraoperative surgical options. However, modularity led to new problems, such as trunnionosis and fractures of the femoral prosthesis neck. The purpose of this study was to identify risk factors for hip neck fractures and to provide recommendations to prevent damage and fractures of the neck. A systematic review of the literature was performed according to the PRISMA guidelines. Thirty-three case studies were included. Methodologically, most included studies were of moderate or good quality. The 80 neck fractures included in the review took place, on average, 7 years after stem placement. Male gender, high body weight, obesity, previous revision surgery, mixing components from different manufacturers, use of long skirted heads, cobalt-chromium (large size) heads were identified as potential risk factors. Hip neck fractures occur on average 7 years after stem placement. The etiology of hip neck fractures is multifactorial. This review revealed several preventable implant- and surgeon-related risk factors.
Identifiants
pubmed: 35236443
doi: 10.1186/s42836-020-00047-3
pii: 10.1186/s42836-020-00047-3
pmc: PMC8796592
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
28Informations de copyright
© 2020. The Author(s).
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