scholarly journals History, treatment and analysis of a rare form of Exeter stem fracture

2019 ◽  
Vol 12 (12) ◽  
pp. e231422
Author(s):  
Darren Patrick Moloney ◽  
Robert J Hurley ◽  
James Harty ◽  
Shane Guerin
Keyword(s):  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Lower Limb ◽  
Hip Replacement ◽  
Revision Arthroplasty ◽  
Rare Form ◽  
Pelvic Radiograph ◽  
Left Lower Limb ◽  
History Of ◽  
Stem Fracture

The Exeter stem by Stryker has become one of the most successful and widely used stems in modern cemented hip arthroplasty. We present a case of a rare stem fracture which was treated by ‘cement-in-cement’ revision arthroplasty technique. The patient, an 87-year-old man, presented with left hip pain and an inability to weight bear following a cracking sensation when he was standing to dress himself. The patient denied history of fall or trauma. On examination he was noted to have a shortened externally rotated left lower limb without neurovascular compromise. On pelvic radiograph he was noted to have an incomplete stem fracture of his left-sided total hip replacement. He was treated with a cement-in-cement revision. Postoperatively the stem was sent for analysis in the London Implant Retrieval Centre. This is an example of a rare form of stem fatigue failure treated with a well-described technique in revision arthroplasty.

scholarly journals Retention of prosthetic articulating spacer after infected hip arthroplasty as a semipermanent implant: A case report

2019 ◽  
Vol 26 (2) ◽  
pp. 105-107
Author(s):  
Michelle Hilda Luk ◽  
Fu Yuen Ng ◽  
Henry Fu ◽  
Ping Keung Chan ◽  
Chun Hoi Yan ◽  
...  
Keyword(s):  
Case Report ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Cement Spacer ◽  
Implant Loosening ◽  
Second Stage ◽  
Joint Infections ◽  
Articulating Spacer

Prosthesis with antibiotic-loaded acrylic cement was designed as a temporary articulating cement spacer in a two-stage procedure before definitive reimplantation for the treatment of periprosthetic joint infections. It is designed to remain in situ for about 6–12 weeks, until evidence of infection is controlled before reimplantation of a definitive total hip replacement. This study presents a case of a patient with prosthetic articulating spacer retention for 6 years, previously performed for an infected unipolar hemiarthroplasty for which he refused second-stage reimplantation. He remains relatively asymptomatic with no evidence of infection, implant loosening, or fracture. The patient is able to walk with a frame with minimal hip pain.

Lymphoedema praecox in a young woman: a rare disease

2021 ◽  
Vol 14 (9) ◽  
pp. e245353
Author(s):  
Sri Hari Priya Vemulakonda ◽  
Naveen Kumar Gaur ◽  
Oseen Hajilal Shaikh ◽  
Uday Shamrao Kumbhar
Keyword(s):  
Rare Disease ◽  
Young Woman ◽  
Lower Limb ◽  
Young Age ◽  
Rare Disorder ◽  
Imaging Studies ◽  
Left Lower Limb ◽  
History Of

Primary lymphoedema is a rare disorder. Often presents at a young age with asymptomatic limb oedema with gradual progression. We present a 16-year-old woman who presented with a history of swelling of the left lower limb for 6 years. There was the presence of isolated left lower limb oedema, which was a non-pitting type. The patient underwent imaging studies and was diagnosed to have primary lymphoedema. The patient was managed conservatively as the patient did not have any other problems other than the left lower limb oedema.

A Proximal Referencing System for the Charnley Low Friction Arthroplasty

2002 ◽  
Vol 12 (3) ◽  
pp. 303-307
Author(s):  
M.D.A. Fletcher ◽  
J.C.J. Webb ◽  
T. Maung
Keyword(s):  
Soft Tissue ◽  
Total Hip Arthroplasty ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Hip Replacement ◽  
Recurrent Dislocation ◽  
Soft Tissue Balance ◽  
Low Friction ◽  
Total Hip

Dislocation is a serious complication of total hip arthroplasty occurring in up to 9% of cases. Recurrent dislocation accounts for 4% of revisions in the Swedish Hip Arthroplasty Study. Soft tissue balancing is one of the factors, independent of the surgical approach used, that is involved in producing a stable total hip replacement. We describe a proximal referencing system for use with the Charnley low friction arthrosplasty (LFA), which optimises this factor. The dislocation rate, using this method, is 0.3% (in 333 cases performed by a single surgeon over a 5 year period). This system should prove valuable to orthopaedic surgeons in training, ensuring they achieve correct soft tissue balance in total hip arthroplasty.

scholarly journals Hip arthroplasty fatality related to dabigatran induced gastrointestinal haemorrhage

2014 ◽  
Vol 96 (1) ◽  
pp. e01-e03 ◽  
Author(s):  
A Carter ◽  
P Sarda ◽  
M George ◽  
S Corbett
Keyword(s):  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Dabigatran Etexilate ◽  
Gastrointestinal Haemorrhage ◽  
Fatal Complication ◽  
Reversal Agent ◽  
Thromboembolic Prophylaxis ◽  
Total Hip ◽  
Venous Thromboembolic

We report a fatality due to massive gastrointestinal haemorrhage in a patient receiving prophylactic dabigatran etexilate following a total hip replacement. A 79-year-old woman was commenced on dabigatran for venous thromboembolic prophylaxis following a total hip replacement. She presented again four days after surgery with haematemesis and hypotension but her coagulopathy could not be corrected, leading to her death. This case highlights the lack of reversal agent for dabigatran etexilate that resulted in this fatal complication.

Use of Three-dimensional Printing and Patient-matched Implant in Total Hip Arthroplasty – a Case Study

2019 ◽  
Vol 21 (3) ◽  
pp. 207-216 ◽  
Author(s):  
Piotr Sypień ◽  
Paweł Łęgosz ◽  
Paweł Małdyk
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Three Dimensional ◽  
Revision Arthroplasty ◽  
Patient Specific ◽  
Oral Antibiotic ◽  
Precise Position ◽  
Total Hip ◽  
Custom Made ◽  
History Of

We present a case report of a 70-year-old female patient with a history of right hip dysplasia and total hip arthroplasty complicated by chronic periprosthetic hipction. Failure of oral antibiotic treatment was an indication for implant removal. A computed tomography scan performed during qualification for reimplantation revealed massive bone defects in the pelvis. A three-dimensional printed patient-specific anatomical model of the pelvis helped to determine the precise position and cup size in preoperative planning and prepare a patient-matched acetabulum. The custom-made endoprosthesis was implanted during revision arthroplasty.

The natural history of a posteriorly dislocated total hip replacement

1999 ◽  
Vol 14 (8) ◽  
pp. 964-968 ◽  
Author(s):  
Emile Li ◽  
John B. Meding ◽  
Merrill A. Ritter ◽  
E.Michael Keating ◽  
Philip M. Faris
Keyword(s):  
Natural History ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
History Of

Increasing patients' body mass. Are the criteria for testing stemmed femoral components in total hip arthroplasty still valid?

2007 ◽  
Vol 221 (8) ◽  
pp. 959-961 ◽  
Author(s):  
B M Wroblewski ◽  
P D Siney ◽  
P A Fleming
Keyword(s):  
Total Hip Arthroplasty ◽  
Body Mass ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Maximum Load ◽  
The Body ◽  
Activity Level ◽  
Current Interest ◽  
Test Criteria ◽  
Stem Fracture

The increasing incidence of obesity in the population is a topic of current interest. This trend is reflected in patients undergoing primary Charnley hip replacement. Over a 21 year period from January 1986 to October 2006, during which 6910 primary operations were performed, the body mass of patients increased at a mean rate of 0.48 kg/year. The findings suggest that the test criteria for the endurance of stemmed femoral components be modified. The maximum load should be increased from 2.3 kN to 2.5 kN to reflect patients' increasing weight. The duration of the test should be increased from 5 × 106 cycles during which the ‘femoral component shall not fracture’ to 10 × 106 cycles in order to reflect not only the patients' activity level but also the 4-11 year period at risk for stem fracture, and so ‘reflect developing clinical experience’.

scholarly journals Bilateral Total Hip Replacement in Steroid Induced AVN in A Young Patient

2014 ◽  
Vol 13 (2) ◽  
pp. 205-208 ◽  
Author(s):  
Md. Mahbubul Alam ◽  
Bishnu Pada Das ◽  
Aminul Hashan
Keyword(s):  
Young Patient ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Past History ◽  
Medical Science ◽  
Oral Steroid ◽  
Restricted Movement ◽  
Total Hip ◽  
History Of ◽  
Household Activities

A 30 years old female patient presented us with pain, restricted movement of hip and difficulty of walking. She had past history of taking oral Steroid for 6 months for gaining weight. Radiological examination revealed bilateral avascular necrosis of hips with advanced osteoarthritic changes. The patient had sequential Total hip replacement on both sides in 6 weeks interval. Post operatively she was uneventful and after proper exercise and physiotherapy she is maintaining her daily household activities smoothly. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18304 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.205-208

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