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Портал Begell Электронная Бибилиотека e-Книги Журналы Справочники и Сборники статей Коллекции
Journal of Long-Term Effects of Medical Implants
SJR: 0.145 SNIP: 0.491 CiteScore™: 0.89

ISSN Печать: 1050-6934
ISSN Онлайн: 1940-4379

Выпуски:
Том 30, 2020 Том 29, 2019 Том 28, 2018 Том 27, 2017 Том 26, 2016 Том 25, 2015 Том 24, 2014 Том 23, 2013 Том 22, 2012 Том 21, 2011 Том 20, 2010 Том 19, 2009 Том 18, 2008 Том 17, 2007 Том 16, 2006 Том 15, 2005 Том 14, 2004 Том 13, 2003 Том 12, 2002 Том 11, 2001 Том 10, 2000

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2018025434
pages 73-77

Fracture of the Neck of a Lateral Flare Femoral Implant in Total Hip Arthroplasty

Adam P. Breceda
Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, NY
Michael J. DeRogatis
Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, NY
Patrick Lee
Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, NY
Vincent J. Vigorita
Department of Pathology, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York, USA
Eli Bryk
Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, NY
Paul S. Issack
Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, NY

Краткое описание

We present the case of a 38-year-old man who presented 7 years after primary total hip replacement with a fracture of the neck of a lateral flare femoral stem and catastrophic polyethylene wear. The unique design of the lateral flare hip stem has been shown previously to be associated with accelerated polyethylene wear, whereas the stem remains well fixed. The resultant polyethylene wear results in the harder cobalt chrome head abrading the titanium shell generating metallic debris. This may have resulted in proximal migration of the implant neck into the cup with subsequent neck-cup impingement and implant fracture.


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