Bilateral Stress Fractures of the Femoral Neck after Total Knee Arthroplasty: Importance of Early Diagnosis

Morinaga, Sei; Ueshima, Kenichi; Maruhashi, Yoshinobu; Hashimoto, Noriyuki; Watanabe, Shôji; Nakamura, T.

doi:10.1155/2020/3091693

Cited by 4 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Stress fracture of the femoral neck following TKA is rare, with only a few reported cases in the English literature [ 8 , 9 ]. Various authors have described associated factors related to stress fractures of the femur neck after TKA in the literature.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Stress Fracture of the Femoral Neck Following Total Knee Arthroplasty: A Case Series

Arora¹,

Asnake²,

Sonkawade³

2023

Cureus

View full text Add to dashboard Cite

A stress fracture of the femoral neck after total knee arthroplasty (TKA) is rare, with few reported cases in the English literature. We defined a stress fracture following TKA as a nontraumatic fracture developing in the femoral neck within six months of TKA. This retrospective case series highlights the predisposing factors, diagnostic challenges, and management of stress femoral neck fractures following TKA. In our series, the major risk factors for the fracture are an increase in the level of activity in osteoporotic bone after a period of relative immobility after TKA, steroid intake, and rheumatoid arthritis. Preoperative dual-energy X-ray absorptiometry (DEXA) screening may help in the early initiation of osteoporosis treatment as the majority of our cases come late in the knee arthritis stage and long after a period of relative inactivity. Timely diagnosis and management of a stress femur neck fracture in the early period may prevent fracture displacement, avascular necrosis, and nonunion.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The literature describes the time at which the stress fracture occurred after TKA as ranging from 2-33 months, with an average of 8.7 months [ 9 ]. In our cases, the time ranges from 4-6 months after TKA, with an average of 4.9 months.…”

Section: Discussionmentioning

confidence: 99%

Stress Fracture of the Femoral Neck Following Total Knee Arthroplasty: A Case Series

Arora¹,

Asnake²,

Sonkawade³

2023

Cureus

View full text Add to dashboard Cite

show abstract

“…[3,5,[28][29][30][31][32] Fatigue fractures may also be secondary to patients with abnormal femoral neck anatomy. [11,[33][34][35] The other type of fracture is an insufficiency fracture, in which the quality of the bone is reduced for various reasons, such as senile osteoporosis, postmenopausal osteoporosis, renal bone disease, vitamin D deficiency and other metabolic bone diseases, cortisol use, neurological sexual anorexia, and the use of certain drugs. [9,21,25,26,36,37] Devas et al proposed the earliest classification method for femoral neck stress fractures, which are divided into 2 types according to whether the fracture end is displaced: Type I, simple compression fracture without displacement; and Type II, compression fracture with displaced fracture ends.…”

Section: Discussionmentioning

confidence: 99%

Bilateral femoral neck stress fractures in elderly individuals: A case report and literature review

Fang,

Cao,

Wang

et al. 2023

Medicine

View full text Add to dashboard Cite

Rationale: Bilateral femoral neck stress fractures are relatively rare injuries that occur frequently in military recruits, athletes and patients with osteoporosis, renal bone disease, metabolic bone disease, and chronic steroid use. Herein, a case of an elderly patient with bilateral femoral neck stress fractures is reported. Patient concerns: A 65-year-old man presented to the author’s hospital with right hip pain for over a month. The patient was a farmer, had a long history of field labor before the onset of pain, denied any history of trauma. Diagnosis: The patient was diagnosed with a right subcapital fracture of the femoral neck after examination. The patient complained of only right hip symptoms, and hip computed tomography showed no abnormalities in the left hip. A tension fracture of the left femoral neck was missed due to unawareness of the abnormal signal of the left femoral neck seen on right hip magnetic resonance imaging. Interventions: During the first hospitalization, the patient underwent total hip arthroplasty (THA) on the right hip. Two months after the operation, the patient started to have pain in the left hip and underwent left THA again for a displaced left femoral neck fracture. Outcomes: The patient eventually underwent bilateral THA surgery and had a satisfactory functional recovery. But the oversight in the diagnostic process led to the patient undergoing left THA that could have been avoided. Lessons: For patients who complain of hip pain but deny a history of trauma, we should be concerned about the presence of a hip fracture even if the patient’s radiograph does not report a positive result. The most sensitive method is bilateral magnetic resonance imaging examination of the hip. Femoral neck stress fractures require early diagnosis and treatment to prevent complications.

show abstract

Multiple stress fractures of unilateral femur: A case report

Tang¹,

Liu²,

Liu³

et al. 2022

WJCC

View full text Add to dashboard Cite

Bilateral Stress Fractures of the Femoral Neck after Total Knee Arthroplasty: Importance of Early Diagnosis

Cited by 4 publications

References 12 publications

Stress Fracture of the Femoral Neck Following Total Knee Arthroplasty: A Case Series

Stress Fracture of the Femoral Neck Following Total Knee Arthroplasty: A Case Series

Bilateral femoral neck stress fractures in elderly individuals: A case report and literature review

Multiple stress fractures of unilateral femur: A case report

Contact Info

Product

Resources

About