Use of a long distally fixed intramedullary stem to treat a periprosthetic femoral fracture following total hip arthroplasty using a thrust plate hip.

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Presentation transcript:

Use of a long distally fixed intramedullary stem to treat a periprosthetic femoral fracture following total hip arthroplasty using a thrust plate hip prosthesis: A case report Hiroyuki Hatanaka, Goro Motomura, Satoshi Ikemura, Kazuhiko Sonoda, Yusuke Kubo, Takeshi Utsunomiya, Takuaki Yamamoto, Yasuharu Nakashima International Journal of Surgery Case Reports Volume 37, Pages 65-68 (January 2017) DOI: 10.1016/j.ijscr.2017.06.010 Copyright © 2017 The Author(s) Terms and Conditions

Fig. 1 Initial (a) anteroposterior and (b) lateral radiographs of the right hip showed osteoarthritis with joint space narrowing and collapse of the weight-bearing surface of the femoral head (stage 4, Association Research Circulation Osseous [ARCO] staging system). International Journal of Surgery Case Reports 2017 37, 65-68DOI: (10.1016/j.ijscr.2017.06.010) Copyright © 2017 The Author(s) Terms and Conditions

Fig. 2 (a) Anteroposterior and (b) lateral radiographs at the time of total hip arthroplasty (THA) with the thrust plate hip prosthesis (TPP). The insertion angle of the thrust plate to the femoral axis was 130° on the postoperative anteroposterior radiograph. International Journal of Surgery Case Reports 2017 37, 65-68DOI: (10.1016/j.ijscr.2017.06.010) Copyright © 2017 The Author(s) Terms and Conditions

Fig. 3 (a) Anteroposterior and (b) lateral radiographs of right hip at the time of periprosthetic femoral fracture 13 years after the primary THA using a TPP. A displaced subtrochanteric fracture was seen below the distal tip of the lateral plate. Implant loosening was not observed around the medical cortex of the proximal femur. International Journal of Surgery Case Reports 2017 37, 65-68DOI: (10.1016/j.ijscr.2017.06.010) Copyright © 2017 The Author(s) Terms and Conditions

Fig. 4 (a) Anteroposterior and (b) lateral radiographs of the right hip after the revision surgery. The long distally fixed intramedullary stem was used in conjunction with a plate and cable system to obtain sufficient stability of the fracture sites. International Journal of Surgery Case Reports 2017 37, 65-68DOI: (10.1016/j.ijscr.2017.06.010) Copyright © 2017 The Author(s) Terms and Conditions