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Published in: Journal of Medical Case Reports 1/2007

Open Access 01-12-2007 | Case report

Neck fracture of a cementless forged titanium alloy femoral stem following total hip arthroplasty: a case report and review of the literature

Authors: Theodoros B Grivas, Olga D Savvidou, Spyridon A Psarakis, Pierre-Francois Bernard, George Triantafyllopoulos, Ioannis Kovanis, Panagiotis Alexandropoulos

Published in: Journal of Medical Case Reports | Issue 1/2007

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Abstract

Introduction

Fractures of the neck of the femoral component have been reported in uncemented total hip replacements, however, to our knowledge, no fractures of the neck of a cementless forged titanium alloy femoral stem coated in the proximal third with hydroxy-apatite have been reported in the medical literature.

Case presentation

This case report describes a fracture of the neck of a cementless forged titanium alloy stem coated in the proximal third with hydroxy-apatite.

Conclusion

The neck of the femoral stem failed from fatigue probably because of a combination of factors described analytically below.
Appendix
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Literature
1.
go back to reference Charnley J: Fracture of femoral prostheses in total hip replacement. A clinical study. Clin Orthop. 1975, 105-120. Charnley J: Fracture of femoral prostheses in total hip replacement. A clinical study. Clin Orthop. 1975, 105-120.
2.
go back to reference Woolson ST, Mibauer JP, Bobyn JD, Yue S, Maloney WJ: Fatigue fracture of a forged cobalt-chromiummolybdenum femoral component inserted with cement. A report of ten cases. J Bone Joint Surg. 1997, 79-A, 12: 1842-1848. Woolson ST, Mibauer JP, Bobyn JD, Yue S, Maloney WJ: Fatigue fracture of a forged cobalt-chromiummolybdenum femoral component inserted with cement. A report of ten cases. J Bone Joint Surg. 1997, 79-A, 12: 1842-1848.
3.
go back to reference Gonzalez Della Valle A, Becksac Burak, Anderson J, Wright T, Nestor B, Pellicci P, Salvati E: Late fatigue fracture of a modern forged cobalt chrome stem for total hip arthroplasty. J Arthoplasty. 2005, 20: 1084-1088. 10.1016/j.arth.2005.03.038.CrossRef Gonzalez Della Valle A, Becksac Burak, Anderson J, Wright T, Nestor B, Pellicci P, Salvati E: Late fatigue fracture of a modern forged cobalt chrome stem for total hip arthroplasty. J Arthoplasty. 2005, 20: 1084-1088. 10.1016/j.arth.2005.03.038.CrossRef
4.
go back to reference Morgan-Hough CV, Tavakkolizadeh A, Purkayastha S: Fatigue failure of the femoral component of a cementless total hip arthroplasty. J Arthoplasty. 2004, 19: 658-660. 10.1016/j.arth.2004.05.001.CrossRef Morgan-Hough CV, Tavakkolizadeh A, Purkayastha S: Fatigue failure of the femoral component of a cementless total hip arthroplasty. J Arthoplasty. 2004, 19: 658-660. 10.1016/j.arth.2004.05.001.CrossRef
5.
go back to reference Magnissalis EA, Zinelis S, Karachalios T, Hartofilakidis G: Failure analysis of two Ti-alloy hip arthroplasty femoral stems fractured in vivo. J Biomed Mater Res B Appl Biomater. 2003, 66: 299-305. 10.1002/jbm.b.10003.CrossRefPubMed Magnissalis EA, Zinelis S, Karachalios T, Hartofilakidis G: Failure analysis of two Ti-alloy hip arthroplasty femoral stems fractured in vivo. J Biomed Mater Res B Appl Biomater. 2003, 66: 299-305. 10.1002/jbm.b.10003.CrossRefPubMed
6.
go back to reference Gilbert JL, Buckley CA, Jacobs JJ, Bertin KC, Zernich MR: Intergranular corrosion-fatigue failure of cobalt-alloy femoral stems. A failure analysis of two implants. J Bone Joint Surg. 1994, 76 A: 110-115. Gilbert JL, Buckley CA, Jacobs JJ, Bertin KC, Zernich MR: Intergranular corrosion-fatigue failure of cobalt-alloy femoral stems. A failure analysis of two implants. J Bone Joint Surg. 1994, 76 A: 110-115.
7.
go back to reference Cook SD, Kester MA, Harding AF, Brown TD, Sandborn PM: Metallurgical analysis of five failed cast cobalt-chromium-molybdenum alloy hip prostheses. J Rehabil Res Dev. 1986, 23: 27-36.PubMed Cook SD, Kester MA, Harding AF, Brown TD, Sandborn PM: Metallurgical analysis of five failed cast cobalt-chromium-molybdenum alloy hip prostheses. J Rehabil Res Dev. 1986, 23: 27-36.PubMed
8.
go back to reference Chao EYS, Coventry MB: Fracture of the femoral component after total hip replacement. An analysis of fifty-eight cases. J Bone Joint Sug. 1981, 63-A: 1078-1094. Chao EYS, Coventry MB: Fracture of the femoral component after total hip replacement. An analysis of fifty-eight cases. J Bone Joint Sug. 1981, 63-A: 1078-1094.
9.
go back to reference Lee EW, Kim HT: Early fatigue failures of cemented, forged, cobaltchromium femoral stems at the neck shoulder junction: a case report. J Arthroplasty. 2001, 16: 236-10.1054/arth.2001.20542.CrossRefPubMed Lee EW, Kim HT: Early fatigue failures of cemented, forged, cobaltchromium femoral stems at the neck shoulder junction: a case report. J Arthroplasty. 2001, 16: 236-10.1054/arth.2001.20542.CrossRefPubMed
10.
go back to reference Hampton SJ, Andriacchi TP, Galante JO: Three dimensional stress analysis of the femoral stem of a total hip prosthesis. J Biomech. 1980, 13: 443-448. 10.1016/0021-9290(80)90038-X.CrossRefPubMed Hampton SJ, Andriacchi TP, Galante JO: Three dimensional stress analysis of the femoral stem of a total hip prosthesis. J Biomech. 1980, 13: 443-448. 10.1016/0021-9290(80)90038-X.CrossRefPubMed
11.
go back to reference Burstein AH, Wright TM: Neck fractures of femoral prostheses. J Bone Joint Surg. 1985, 67A: 497 Burstein AH, Wright TM: Neck fractures of femoral prostheses. J Bone Joint Surg. 1985, 67A: 497
12.
go back to reference Rand JA, Chao EY: Femoral implant neck fracture following total hip arthroplasty : A report of three cases. Clin Orthop Relat Res. 1987, 221: 255-259.PubMed Rand JA, Chao EY: Femoral implant neck fracture following total hip arthroplasty : A report of three cases. Clin Orthop Relat Res. 1987, 221: 255-259.PubMed
13.
go back to reference Vatani N, Comando D, Acune J, Prieto D, Caviglia H: Faulty design increases the risk of neck fracture in hip prosthesis. Acta Orthop Scand. 2002, 73: 513-517. 10.1080/000164702321022776.CrossRefPubMed Vatani N, Comando D, Acune J, Prieto D, Caviglia H: Faulty design increases the risk of neck fracture in hip prosthesis. Acta Orthop Scand. 2002, 73: 513-517. 10.1080/000164702321022776.CrossRefPubMed
14.
go back to reference Collier JP DE, Mayor MB, Jensen RE, Surprenant VA, Surprenant HP, McNamar JL, Belec L: Mechanisms of failure of modular prostheses. Clin Orthop. 1992, 285: 129-139.PubMed Collier JP DE, Mayor MB, Jensen RE, Surprenant VA, Surprenant HP, McNamar JL, Belec L: Mechanisms of failure of modular prostheses. Clin Orthop. 1992, 285: 129-139.PubMed
15.
go back to reference Aspenberg P, Kolmert L, Person L, Onnerfalt R: Fracture of hip prostheses due to inadequate welding. Acta Orhop Scand. 1987, 58: 479-482.CrossRef Aspenberg P, Kolmert L, Person L, Onnerfalt R: Fracture of hip prostheses due to inadequate welding. Acta Orhop Scand. 1987, 58: 479-482.CrossRef
Metadata
Title
Neck fracture of a cementless forged titanium alloy femoral stem following total hip arthroplasty: a case report and review of the literature
Authors
Theodoros B Grivas
Olga D Savvidou
Spyridon A Psarakis
Pierre-Francois Bernard
George Triantafyllopoulos
Ioannis Kovanis
Panagiotis Alexandropoulos
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2007
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-1-174

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