Failed internal fixation due to osteonecrosis following traumatic periprosthetic fracture after hip resurfacing arthroplasty

Zustin, Jozef; Winter, E.

doi:10.3109/17453670903413152

Cited by 10 publications

(9 citation statements)

References 19 publications

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“…This is a challenge of this technique. We suggest, like prior authors, that scrutiny of intraoperative imaging and careful attention to clinical feedback from the drill can assist the surgeon [ 5 , 23 ]. Regular follow-up is ideal as secondary collapse of the femoral head due to osteonecrosis requiring revision to total hip arthroplasty has been reported [ 23 ].…”

Section: Discussionmentioning

confidence: 76%

Periprosthetic Intertrochanteric Fracture between Hip Resurfacing and Retrograde Nail

et al. 2020

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Periprosthetic femur fractures present a growing worldwide challenge for orthopaedic surgeons. Fractures around a hip resurfacing implant create unique management problems. When considering fixation, there can be limited options for ideal stabilization and some require creative constructs. We present an interesting case of a periprosthetic intertrochanteric femur fracture between a hip resurfacing implant and retrograde intramedullary nail.

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Section: Discussionmentioning

confidence: 76%

Periprosthetic Intertrochanteric Fracture between Hip Resurfacing and Retrograde Nail

et al. 2020

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“…The surgical management of fracture patterns and the stability vs instability of the primarily implanted endopros-thesis in periprosthetic fractures still are challenging for the orthopedic surgeon. Until today, levels of peri- and postoperative complications have remained high and long-term functional outcomes are still unsatisfying [ 5 , 11 , 12 - 15 ]. Likely due to reduced biological capacities of the elderly patients, rates of infections and nonunions are significantly higher than in cohorts with primary arthroplasties [ 10 ].…”

Section: Epidemiology and Backgroundmentioning

confidence: 99%

Concepts and Potential Future Developments for Treatment of Periprosthetic Proximal Femoral Fractures

Brand

Ettinger

Omar

et al. 2015

TOORTHJ

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Periprosthetic proximal femoral fractures are a major challenge for the orthopaedic surgeon, with a continuously increasing incidence due to aging populations and concordantly increasing numbers of total hip replacements. Surgical decision-making mainly depends on the stability of the arthroplasty, and the quality of bone stock. As patients final outcomes mainly depend on early mobilization, a high primary stability of the construct is of particular relevance. Osteosynthetic procedures are usually applied for fractures with a stable arthroplasty, while fractures with a loosened endoprosthesis commonly require revision arthroplasty. Osteoporotic bone with insufficient anchoring substance for screws poses one major concern for cases with well-fixed arthroplasties. Complication rates and perioperative mortality have remained unacceptably high, emphasizing the need for new innovations in the treatment of periprosthetic fractures. Transprosthetic drilling of screws through the hip stem as the most solid and reliable part in the patient might represent a promising future approach, with auspicious results in recent biomechanical studies.

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“…Sir —I appreciate Dr. Mereddy's comments regarding our article ( Zustin and Winter 2009 ). In response, I would first like to discuss the issue of periprosthetic fractures following total hip resurfacing arthroplasty (THRA) somewhat more generally, and then comment on those issues with reference to the presented case.…”

mentioning

confidence: 92%

“…Sir —We read this article ( Zustin and Winter 2009 ) with great interest and we appreciate the great efforts the authors have put in to publish this case report and extensive review of literature. However, we would like to discuss some primary issues regarding the case that has been reported.…”

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confidence: 99%