scholarly journals Taper Fracture of Uncemented Femoral Stem after Total Hip Arthroplasty

2018 ◽  
Vol 1 (1-3) ◽  
pp. 50-54 ◽  
Author(s):  
Salim Al Habsi ◽  
Jatinder Singh Luthra ◽  
Hamid Al Badei

Fracture through the tapered femoral neck of total hip arthroplasty is extremely rare. We report the taper neck fracture of a cementless stem in an extensively porous-coated femoral prosthesis used for total hip arthroplasty due to chronic hip infection 8 years previously in a 42-year-old man, weighing 110 kg with a body mass index of 39. We consider that cyclical loading stresses, fretting corrosion, and high body mass index are possible potential risk factors of such fracture.

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Zuned Hakim ◽  
Claire Rutherford ◽  
Elizabeth Mckiernan ◽  
Tony Helm

Obesity is becoming a critical problem in the developed world and is associated with an increased incidence of osteoarthritis of the hip. The Oxford Hip Score was used to determine if Body Mass Index (BMI) is an independent factor in determining patient outcome following primary total hip arthroplasty (THA). Using data from 353 operations we found that patients with BMI ≥ 30 had an absolute score that was lower preoperatively and postoperatively compared to those with a BMI < 30. There was no difference in pre- and postoperative point score change within each group; Kendall’s rank correlation was 0.00047 (95% CI, −0.073 to 0.074 (p=0.99)) and demonstrated no trend. There was no statistically significant difference in change between those with BMI ≥ 30 and < 30 (p=0.65). We suggest that those with a higher BMI be considered for THA as they can expect the same degree of improvement as those with a lower BMI. Given the on-going increase in obesity these findings could be significant for the future of THA.


Author(s):  
T. Bacon-Baguley ◽  
T. Mollan ◽  
P. Oleszkiewicz ◽  
D. Rispler

2007 ◽  
Vol 1 (1) ◽  
Author(s):  
Theodoros B Grivas ◽  
Olga D Savvidou ◽  
Spyridon A Psarakis ◽  
Pierre-Francois Bernard ◽  
George Triantafyllopoulos ◽  
...  

2012 ◽  
Vol 92 (11) ◽  
pp. 1386-1394 ◽  
Author(s):  
Emily J. Slaven

Background Recovery of function such as the ability to walk without an assistive device after total hip arthroplasty (THA) is not always automatic. Objective This study investigated whether predetermined variables could be used to identify patients who might have functional limitations at 6 months following THA. Design A prospective, observational cohort design was used. Method Demographics and baseline measures, including age, sex, and preoperative Lower Extremity Functional Scale (LEFS) score, were collected 1 to 3 weeks prior to surgery from 40 participants who were scheduled to undergo THA. Six weeks after surgery, a second LEFS score was recorded along with each participant's body mass index and the THA procedure performed; walking speed and balance also were assessed at this time using the 10-Meter Walk Test, the Timed “Up & Go” Test, and the Functional Reach Test. At 6 months following surgery, each participant's functional outcome was determined from the final LEFS score and the need for an assistive device. Classification and regression tree (CART) analyses and logistic regression were used to establish which of the variables could predict outcome at 6 months. Results Body mass index, sex, and age were identified by CART analysis as predictors to classify participants who did not reach successful outcome status. Logistic regression revealed that sex (female) was the only individual variable that predicted outcome at 6 months. Walking speed was the only performance variable identified as a predictor for outcome using CART analysis. Limitations Only a limited number of variables were observed due to the small sample size. Conclusion It is possible to identify those patients who are at risk for an unsuccessful outcome through the use of variables such as body mass index, age, and sex.


2021 ◽  
Vol 29 (2) ◽  
pp. 71-77
Author(s):  
Kareem J. Kebaish ◽  
Varun Puvanesarajah ◽  
Sandesh Rao ◽  
Bo Zhang ◽  
Taylor D. Ottesen ◽  
...  

2019 ◽  
Vol 43 (11) ◽  
pp. 2447-2455 ◽  
Author(s):  
Pierre Martz ◽  
Abderrahmane Bourredjem ◽  
Jean Francis Maillefert ◽  
Christine Binquet ◽  
Emmanuel Baulot ◽  
...  

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