scholarly journals Prosthetic Fracture of a Cemented Exeter Femoral Stem (Case Report)

2016 ◽  
Vol 6 (4) ◽  
Author(s):  
Michael Facek ◽  
Yasser Khatib ◽  
Eric Swarts

We present a single case of fracture of an Exeter femoral prosthesis at the neck, occurring after a fall from standing height, in a lean 70yr lady at 6 years post implantation. The fracture propagated from the insertion dimple on the superior aspect of the prosthesis shoulder. Materials analysis suggested variance in composition of the alloy, particularly with grain size heterogeneity. Whilst Exeter femoral prosthesis fracture is extremely rare, when it does occur the literature suggests it is often in the context of excessive mechanical stresses (obesity, high offset, falls). However, this case may represent a failure of materials rather than mechanical stresses alone. 

Author(s):  
Imen Ksiaa ◽  
Safa Ben Aoun ◽  
Sourour Zina ◽  
Dhouha Nefzi ◽  
Sana Khochtali ◽  
...  

Abstract Objective To describe a case of Behçet disease (BD) uveitis manifesting with sequential bilateral neuroretinitis associated with prepapillary inflammatory vitreous exudate (PIVE). Material and methods A single case report documented with multimodal imaging. Results A 37-year-old man developed neuroretinitis with associated PIVE in the left eye. He was diagnosed with ocular toxoplasmosis and treated accordingly based on positive serologic testing and negative work-up for other entities, including BD. The disease course was favorable, but 1 year later a similar neuroretinitis developed in the right eye. Extraocular features of BD became evident only at the time of the second eye involvement, and the patient received corticosteroid and immunosuppressive therapy. Swept source (SS) OCT showed at the acute phase in both eyes a typical “mushroom-shaped” prepapillary hyperreflectivity of the PIVE. SS OCT angiography (OCTA) demonstrated a corresponding prepapillary hypointense area due to shadowing effect, decreasing in size while scanning deeper layers. It also detected peripapillary retinal hypervascularity in both eyes and a sectoral area of flow signal loss in the first involved left eye. Visual acuity improved following the resolution of the PIVE and associated acute inflammatory changes in both eyes. The left eye showed residual optic disc pallor and retinal nerve fiber layer defects. Conclusion Sequential bilateral neuroretinitis associated with PIVE may occur before other clinical features of BD become evident. SS OCT and OCTA can provide useful information for the diagnosis and management of this rare, but typical, ocular manifestation of BD uveitis.


Cortex ◽  
1988 ◽  
Vol 24 (2) ◽  
pp. 347-355 ◽  
Author(s):  
A. Charnallet ◽  
S. Carbonnel ◽  
J. Pellat

2000 ◽  
Vol 32 (8) ◽  
pp. 737-742 ◽  
Author(s):  
M. Bononi ◽  
A. De Cesare ◽  
M.C. Stella ◽  
E. Fiori ◽  
G. Galati ◽  
...  

Cureus ◽  
2016 ◽  
Author(s):  
Jose Martinez-Mas ◽  
Alberto Miranda-Paanakker ◽  
Paloma Gomez-Leal ◽  
Patricia Navarro-Sanchez ◽  
Andres Bueno-Crespo ◽  
...  

1994 ◽  
Vol 76-B (5) ◽  
pp. 824-830 ◽  
Author(s):  
F Lintner ◽  
G Bohm ◽  
M Huber ◽  
R Scholz

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
M K Rajak ◽  
S Kumar ◽  
R Thakur ◽  
I Bhaduri

Introduction: Simultaneous fractures in the neck of femur on the one side and contralateral intertrochanteric fracture of the femur with only trivial injury are among rarest injuries. Fracture neck of femur or intertrochanteric fracture either isolated or in combination such as simultaneous bilateral fracture neck of femur and simultaneous bilateral intertrochanteric fractures are relatively commonly reported in literature. Herein, we report a very rare case of a young female with chronic kidney disease who presented with simultaneous fractures neck of femur on the one side and contralateral intertrochanteric fracture of femur after a fall from standing height. Case Report: A 41-year-old female with chronic kidney disease from the past 5 years presented to us with severe pain at both hip and inability to stand after a fall from standing height. Clinical examination and investigations were done. She suffered fracture neck of femur on the right side and intertrochanteric fracture femur on the left side. Single stage fixation of both these fractures by two different methods was done successfully after optimization of her medical condition with multidisciplinary approach. She was advised weight bearing according to fixation method used and progress of fracture union. She regained her preoperative walking status gradually in 6 months. Conclusion: Simultaneous fractures in the neck of femur on the one side and intertrochanteric fracture of the femur on the other side are very rare presentation and can happen in patients with primary or secondary bone disease. Multidisciplinary team effort is needed for overall effective management and prompt surgical treatment can help achieve favorable outcome. Keywords: Simultaneous, fracture neck of femur, intertrochanteric fracture femur.


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