Treatment of Primary Hip Arthroplasty Complications. Case Study

2018 ◽  
Vol 20 (5) ◽  
pp. 421-430 ◽  
Author(s):  
Paweł Kamiński ◽  
Adam Zawojski ◽  
Jerzy Mirosław Jaworski ◽  
Magdalena Wilk-Frańczuk
Keyword(s):  
Female Patient ◽  
Hip Arthroplasty ◽  
Femoral Fracture ◽  
Preoperative Planning ◽  
Correct Diagnosis ◽  
Periprosthetic Femoral Fracture ◽  
Two Stage ◽  
Appropriate Treatment ◽  
Primary Hip Arthroplasty

Intraoperative periprosthetic femoral fracture during hip arthroplasty is one of the most serious surgical com­plications. Its consequences can be minimized with correct diagnosis and early institution of appropriate treatment. This paper presents the management of a periprosthetic femoral fracture complicated by infection in a 53-year-old female patient. The patient underwent three revision surgeries. The first one consisted in treating the fracture and was complicated by another fracture and infection. This was followed by a two-stage treatment of the infection with a cementless revision stem arthroplasty. Arthroplasty procedures should be preceded by appropriate preoperative planning. In the treatment of peri­pro­sthetic fractures, it is essential to use appropriate implants and adhere to the AO principles of fracture ma­nagement.

The Use of a Megaprosthesis in the Management of Stem Loosening after Revision Hip Arthroplasty in a Patient with Extensive Femoral Bone Destruction. Case Study

2021 ◽  
Vol 23 (6) ◽  
pp. 445-450
Author(s):  
Maciej Mądry ◽  
Bartłomiej Kwapisz ◽  
Daniel Kotrych
Keyword(s):  
Female Patient ◽  
Hip Arthroplasty ◽  
Bone Destruction ◽  
Revision Hip Arthroplasty ◽  
Femoral Bone ◽  
Stem Loosening ◽  
Primary Hip Arthroplasty

This paper presents the case of a female patient who underwent eleven revision surgeries after primary hip arthroplasty due to infection and loosening of the stem and acetabulum. We decided that in order to save the limb, it was necessary to use a total femur prosthesis. Three years’ follow-up showed that the patient was satis­fied with the outcome of the surgery.

Risk Factors for Periprosthetic Femoral Fracture in Non-cemented Total Hip Arthroplasty Through the Direct Anterior Approach

2021 ◽  
pp. 155633162110508
Author(s):  
Zachary Berliner ◽  
Cameron Yau ◽  
Kenneth Jahng ◽  
Marcel A. Bas ◽  
H. John Cooper ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Hip Arthroplasty ◽  
Parkinson Disease ◽  
Hip Arthroplasty ◽  
Femoral Fracture ◽  
Categorical Variables ◽  
Patient Specific ◽  
Periprosthetic Femoral Fracture ◽  
Total Hip ◽  
Increased Risk

Background: Although total hip arthroplasty (THA) performed through the direct anterior (DA) approach is frequently marketed as superior to other approaches, there are concerns about increased risks of intraoperative and early postoperative femoral fracture. Purpose: We sought to assess patient-specific and radiographic risk factors for intraoperative and early postoperative (90-day) periprosthetic femoral fracture (PPFx) following DA approach THA. Methods: We retrospectively reviewed 1107 consecutive, primary, non-cemented DA THAs, performed between April 2009 and January 2015, for intraoperative and early postoperative PPFx. Patients lost to follow-up before 90 days (63), cemented or hybrid THA (52), or early femoral failure for another indication (3) were excluded, yielding 989 hips for analysis. Demographic variables and patient comorbidities were analyzed as risk factors for PPFx. Continuous variables were initially compared with 1-way analysis of variance (ANOVA) and categorical variables with chi-square test. A demographic matched-paired radiographic analysis was performed for femoral stem canal fill and compared using univariate logistic regression. Results: The incidence of perioperative PPFx was 2.02%, including 10 intraoperative and 10 early postoperative fractures. Sustaining a postoperative PPFx was associated with being 70 years old or older with a body mass index (BMI) of less than 25, or with having either osteoporosis or Parkinson disease. Radiographs demonstrated that intraoperative PPFx was associated with stems that filled greater proximally rather than distally. Conclusion: Our cohort study found older age, age over 70 with BMI of less than 25, osteoporosis, and Parkinson disease were associated with increased risk for early postoperative PPFx following DA approach THA. Intraoperative fractures may occur with disproportionate proximal femoral canal fill. Further study can evaluate whether cemented femoral components may mitigate risk in these patient populations.

Periprosthetic femoral fracture as cause of early revision after short stem hip arthroplasty—a multicentric analysis

2018 ◽  
Vol 42 (9) ◽  
pp. 2069-2076 ◽  
Author(s):  
Sang-Min Kim ◽  
Seung-Beom Han ◽  
Kee Hyung Rhyu ◽  
Jeong Joon Yoo ◽  
Kwang-Jun Oh ◽  
...  
Keyword(s):  
Hip Arthroplasty ◽  
Femoral Fracture ◽  
Short Stem ◽  
Periprosthetic Femoral Fracture ◽  
Early Revision

scholarly journals Dislocations of the Femoral Component of Hip Implant: Determination of Spatial Relative Position of Components

2016 ◽  
Vol 23 (3) ◽  
pp. 5-10
Author(s):  
V. V Pavlov ◽  
V. M Prokhorenko
Keyword(s):  
Femoral Component ◽  
Hip Arthroplasty ◽  
Preoperative Planning ◽  
Surgical Intervention ◽  
Knee Joints ◽  
Hip Implant ◽  
Measurement Results ◽  
Primary Hip Arthroplasty ◽  
Anterior Posterior

Dislocation of the femoral component is a common complication of total hip arthroplasty. In 44% of cases it results from the incorrect position of implant components. The aim of the study was to evaluate the efficacy of the elaborated method for determination of implant components position at preoperative planning of revision hip arthroplasty in recurrent dislocations of the femoral component. Thirty patients aged 25 - 75 years with recurrent femoral component dislocation after primary hip arthroplasty were examined. To verify the dislocation a plain anterior-posterior roentgenogram of pelvis was performed followed by MSCT of pelvis, femoral bones and knee joints. Drawing up of necessary lines and angles enabled to evaluate objectively the correctness of hip implant components position. By measurement results all patients were divided into 3 groups and in each group an appropriate type of surgical intervention was used. The proposed methods of preoperative planning enabled to determine objectively the cause of femoral component dislocation, to choose an adequate variant of surgical intervention and to exclude the risk of femoral component dislocation recurrence in 96.7% of cases.

Sign in / Sign up

Export Citation Format

Share Document