Lateral insufficiency fractures of the femur caused by osteopenia and varus angulation: A complication of total hip arthroplasty

We report the results of Kent hip revision arthroplasties performed in 5 patients with fractures of the femur associated with femoral loosening following total hip arthroplasty. The fractures occurred at an average of 40.4 months following the primary hip arthroplasty. The system of Merle D'Aubigné and Postel, as modified by Charnley, was used for the clinical evaluation. One to four years (mean, 2.6 years) after the revision operation, the clinical and radiographic results were satisfactory. With the help of the transfixion screws the Kent Hip prosthesis provides stable fixation and facilitates early mobilization, with its attendant advantages.

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Periprosthetic fractures of the femur after total hip arthroplasty

Injury Extra ◽

10.1016/j.injury.2009.06.236 ◽

2009 ◽

Vol 40 (10) ◽

pp. 209 ◽

Cited By ~ 1

Author(s):

G.M. Calori ◽

M. d’Imporzano ◽

L. Tagliabue

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Periprosthetic Fractures ◽

Total Hip ◽

Fractures Of The Femur

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Does Total Hip Arthroplasty Influence the Development and Localization of Sacral Insufficiency Fractures?

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.21.00218 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Isabel Graul ◽

Patrick Strube ◽

Sophia Vogt ◽

Georg Matziolis ◽

Steffen Brodt ◽

...

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Insufficiency Fractures ◽

Total Hip ◽

Sacral Insufficiency Fractures

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PUBIC RAMUS INSUFFICIENCY FRACTURES FOLLOWING TOTAL HIP ARTHROPLASTY

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-200309000-00027 ◽

2003 ◽

Vol 85 (9) ◽

pp. 1819-1822 ◽

Cited By ~ 11

Author(s):

CORY G. CHRISTIANSEN ◽

RIDA A. KASSIM ◽

JOHN J. CALLAGHAN ◽

J. LAWRENCE MARSH ◽

ANDREW H. SCHMIDT

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Insufficiency Fractures ◽

Pubic Ramus ◽

Total Hip

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RAMUS PUBIS INSUFFICIENCY FRACTURES AFTER TOTAL HIP ARTHROPLASTY: PHYSIOLOGICAL AND BIOMECHANICAL CONSIDERATIONS

Journal of Musculoskeletal Research ◽

10.1142/s0218957708002097 ◽

2008 ◽

Vol 11 (04) ◽

pp. 181-184 ◽

Cited By ~ 1

Author(s):

Nachoum Galit ◽

Brosh Tamar ◽

Salai Moshe ◽

Tytiun Yehezkel ◽

Dudkiewicz Israel

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Clinical Symptoms ◽

Weak Link ◽

Three Dimensional ◽

Element Model ◽

Insufficiency Fractures ◽

Pubic Ramus ◽

Medical Practitioners ◽

Total Hip

Although uncommon, pubic ramus fractures are described in patients who have undergone total hip arthroplasty (THA). We describe two females with superior ramus pubis insufficiency fractures following THA. We consider the physiological and biomechanical aspects of those fractures, e.g. that the superior ramus pubis has the highest load stress on the pelvis (as has already been proved in a three-dimensional finite element model). Also being discussed are risk factors (intrinsic and extrinsic) for stress fractures and the management of insufficiency fractures. Both women suffered osteoporosis, obesity, and had a semisedentary lifestyle — all of which are known risks factors for insufficiency superior ramus pubis fracture to occur in a location which proved as a "weak link" zone after THA. Many of these fractures are undetected, mainly due to the lack of awareness of medical practitioners who attribute the clinical symptoms to other diseases; however, the differential diagnosis of groin pain within the first years following THA should include pubic ramus insufficiency fractures.

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