Fatigue Fracture of the Pubic Ramus Following Total Hip Arthroplasty with Unusual Delayed Healing

Hallel, Tom; Malkin, C.

doi:10.1097/00003086-198206000-00028

Cited by 11 publications

(4 citation statements)

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“…It was recorded as anterior, posterior, or simultaneously at both areas, nonradicular, activity-related, or disabling at various levels (from restricting pain at the extremes of the range of motion of the hips [4], sitting discomfort [39,42,47,51,69], dyspareunia, and sexual problems of mechanical origin [1,19,25,42,59] to bed confinement for patients with continuous debilitating pain [18,25,42,43,47,51]). Nonunions of the anterior elements could be pain-free [4,31,50] in contrast to those of the posterior elements in which they were mostly symptomatic [39,42,51]. Pain was attributed to the nonunion site, the produced pelvic instability, the deformity, and the altered mechanics in patients with malunion, or to a combination of all of these.…”

Section: Clinical Manifestations Of Pelvic Malunion/nonunionsmentioning

confidence: 99%

“…All but 27 (6.3%) of the reviewed patients underwent surgery for an established deformity/instability [31,50,51]. Nonoperative treatment of pelvic nonunions included spica casts, bed rest, and restricted mobilization, but these were reported only in literature from more than 25 years ago [31,50,51].…”

Section: Treatment Alternatives Of Established Pelvic Malunion/nonunionsmentioning

confidence: 99%

“…Nonoperative treatment of pelvic nonunions included spica casts, bed rest, and restricted mobilization, but these were reported only in literature from more than 25 years ago [31,50,51]. (5) VS (32) ORIF (2) CMI (5) Oakley et al [46] Postgrafting (1) APC (1) Nonoperative (1) Type III (1) Matta and Yerasimides [40] MVA (1) APC (1) ORIF (1) Type III (1) Giannoudis et al [25] MVA (3) LC (3) Nonoperative (1) Type I (9) Fall (1) APC (1) Ex-Fix (2) Pathologic fracture (1) Osteitis pubis (4) ORIF (6) Others (4) Septic sacroileitis (1) Delloye et al [12] Others ( The combination of open reduction-internal fixation and bone grafting was the preferred method for treatment of pelvic malunion/nonunion for the majority of the cases (288 patients, 67.3%).…”

Section: Treatment Alternatives Of Established Pelvic Malunion/nonunionsmentioning

confidence: 99%

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Treatment and Outcomes of Pelvic Malunions and Nonunions: A Systematic Review

Kanakaris

Angoules

Nikolaou

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Although acute management of pelvic fractures and their long-term functional outcome have been widely documented, important information regarding malunion and nonunion of these fractures is sparse. Despite their relative rarity, malunions and nonunions cause disabling symptoms and have major socioeconomic implications. We analyzed the factors predisposing a pelvic injury to develop malunion/nonunion, the clinical presentation of these complications, and the efficacy of the reported operative protocols in 437 malunions/nonunions of 25 clinical studies. Treatment of these demanding complications appeared effective in the majority of the cases: overall union rates averaged 86.1%, pain relief as much as 93%, patient satisfaction 79%, and return to a preinjury level of activities 50%. Nevertheless, the patient should be informed about the incidence of perioperative complications, including neurologic injury (5

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Section: Clinical Manifestations Of Pelvic Malunion/nonunionsmentioning

confidence: 99%

Section: Treatment Alternatives Of Established Pelvic Malunion/nonunionsmentioning

confidence: 99%

Section: Treatment Alternatives Of Established Pelvic Malunion/nonunionsmentioning

confidence: 99%

See 1 more Smart Citation

Treatment and Outcomes of Pelvic Malunions and Nonunions: A Systematic Review

Kanakaris

Angoules

Nikolaou

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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“…Stress fractures of the pubic rami can follow total hip arthroplasty[ 1,6,10,12]. Stress fractures of the pubic rami can follow total hip arthroplasty[ 1,6,10,12].…”

mentioning

confidence: 99%

Subcapital stress fracture of the femoral neck after total knee arthroplasty

Martín

Albareda

Seral

1994

International Orthopaedics

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Although total knee arthroplasty is a valuable surgical technique, complications and problems do occur. Associated stress fracture of the femoral neck is relatively rare and we have only found eleven relevant reports. In this paper we present a case of bilateral total knee arthroplasty where three months after the second replacement, and without significant injury, the patient suffered a femoral neck fracture in the limb which had received the first new knee joint.

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