Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 3/2010

01-03-2010 | Case Report

Case Report: Cementless Stem Stabilization after Intraoperative Fracture: A Radiostereometric Analysis

Authors: David Campbell, BMBS, FRACS, PhD, Graham Mercer, BMBS, FRACS, Kjell G. Nilsson, MSc, BVSc, DVSc, Stuart A. Callary, BAppSc

Published in: Clinical Orthopaedics and Related Research® | Issue 3/2010

Login to get access

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.
Literature
1.
Berend KR, Lombardi AV Jr, Mallory TH, Chonko DJ, Dodds KL, Adams JB. Cerclage wires or cables for the management of intraoperative fracture associated with a cementless, tapered femoral prosthesis: results at 2 to 16 years. J Arthroplasty. 2004;19(7 suppl 2):17–21.CrossRefPubMed
2.
3.
Berry DJ. Management of periprosthetic fractures: the hip. J Arthroplasty. 2002;17(4 suppl 1):11–13.CrossRefPubMed
4.
Borlin N, Rohrl SM, Bragdon CR. RSA wear measurements with or without markers in total hip arthroplasty. J Biomech. 2006;39:1641–1650.CrossRefPubMed
5.
Bragdon CR, Thanner J, Greene ME, Malchau H, Digas G, Harris WH, Karrholm J. Standing versus supine radiographs in RSA evaluation of femoral head penetration. Clin Orthop Relat Res. 2006;448:46–51.CrossRefPubMed
6.
Froimson MI, Garino J, Machenaud A, Vidalain JP. Minimum 10-year results of a tapered, titanium, hydroxyapatite-coated hip stem: an independent review. J Arthroplasty. 2007;22:1–7.CrossRefPubMed
7.
Harris WH. 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. J Bone Joint Surg Am. 1969;51:737–755.PubMed
8.
Karrholm J, Borssen B, Lowenhielm G, Snorrason F. Does early micromotion of femoral stem prostheses matter? 4-7-year stereoradiographic follow-up of 84 cemented prostheses. J Bone Joint Surg Br. 1994;76:912–917.PubMed
9.
Karrholm J, Herberts P, Hultmark P, Malchau H, Nivbrant B, Thanner J. Radiostereometry of hip prostheses: review of methodology and clinical results. Clin Orthop Relat Res. 1997;344:94–110.PubMed
10.
Krismer M, Biedermann R, Stockl B, Fischer M, Bauer R, Haid C. The prediction of failure of the stem in THR by measurement of early migration using EBRA-FCA. Einzel-Bild-Roentgen-Analyse-femoral component analysis. J Bone Joint Surg Br. 1999;81:273–280.CrossRefPubMed
11.
Lindahl H. Epidemiology of periprosthetic femur fracture around a total hip arthroplasty. Injury. 2007;38:651–654.CrossRefPubMed
12.
Malchau H, Karrholm J, Wang YX, Herberts P. Accuracy of migration analysis in hip arthroplasty: digitized and conventional radiography, compared to radiostereometry in 51 patients. Acta Orthop Scand. 1995;66:418–424.PubMedCrossRef
13.
Meek RM, Garbuz DS, Masri BA, Greidanus NV, Duncan CP. Intraoperative fracture of the femur in revision total hip arthroplasty with a diaphyseal fitting stem. J Bone Joint Surg Am. 2004;86:480–485.PubMed
14.
Salemyr MF, Skoldenberg OG, Boden HG, Ahl TE, Adolphson PY. Good results with an uncemented proximally HA-coated stem in hip revision surgery: 62 hips followed for 2–13 years. Acta Orthop. 2008;79:184–193.CrossRefPubMed
15.
Schutzer SF, Grady-Benson J, Jasty M, O’Connor DO, Bragdon C, Harris WH. Influence of intraoperative femoral fractures and cerclage wiring on bone ingrowth into canine porous-coated femoral components. J Arthroplasty. 1995;10:823–829.CrossRefPubMed
16.
Schwartz JT Jr, Mayer JG, Engh CA. Femoral fracture during non-cemented total hip arthroplasty. J Bone Joint Surg Am. 1989;71:1135–1142.PubMed
17.
Sharkey PF, Hozack WJ, Booth RE Jr, Rothman RH. Intraoperative femoral fractures in cementless total hip arthroplasty. Orthop Rev. 1992;21:337–342.PubMed
18.
Strom H, Mallmin H, Milbrink J, Petren-Mallmin M, Nivbrant B, Kolstad K. The cone hip stem: a prospective study of 13 patients followed for 5 years with RSA. Acta Orthop Scand. 2003;74:525–530.PubMedCrossRef
19.
Strom H, Nilsson O, Milbrink J, Mallmin H, Larsson S. Early migration pattern of the uncemented CLS stem in total hip arthroplasties. Clin Orthop Relat Res. 2007;454:127–132.CrossRefPubMed
20.
Strom H, Nilsson O, Milbrink J, Mallmin H, Larsson S. The effect of early weight bearing on migration pattern of the uncemented CLS stem in total hip arthroplasty. J Arthroplasty. 2007;22:1122–1129.CrossRefPubMed
21.
Stuchin SA. Femoral shaft fracture in porous and press-fit total hip arthroplasty. Orthop Rev. 1990;19:153–159.PubMed
22.
von Schewelov T, Onsten I, Markusson P, Carlsson A. Weight bearing radiographs are not necessary for measurement of polyethylene penetration in total hip prostheses: a radiostereometric study of 111 patients examined in weight-bearing and supine position. Acta Orthop. 2006;77:104–108.CrossRef
Metadata
Title
Case Report: Cementless Stem Stabilization after Intraoperative Fracture: A Radiostereometric Analysis
Authors
David Campbell, BMBS, FRACS, PhD
Graham Mercer, BMBS, FRACS
Kjell G. Nilsson, MSc, BVSc, DVSc
Stuart A. Callary, BAppSc
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 3/2010
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-009-1082-5

Other articles of this Issue 3/2010

Clinical Orthopaedics and Related Research® 3/2010 Go to the issue

Clinical Research

Custom Cementless Stem Improves Hip Function in Young Patients at 15-year Followup

Clinical Research

Diagnosing Suspected Scaphoid Fractures: A Systematic Review and Meta-analysis

Editorial

“In Brief” Articles

Symposium: Pediatric Spine

The Classic: The Iliac Apophysis: An Invaluable Sign in the Management of Scoliosis

Case Report

Case Report: Osteochondritis Dissecans in Twins: Treatment with Fresh Osteochondral Grafts

Clinical Research

P Value and the Theory of Hypothesis Testing: An Explanation for New Researchers