Subcapital stress fracture of the femoral neck after total knee arthroplasty

Martín, Daniel Palanca; Albareda, Jorge; Seral, F.

doi:10.1007/bf00180232

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…Osteoporosis and vitamin D deficiency Bilateral nondisplaced fracture L: DHS R: DHS Sivas [15] Female 42 Osteomalacia R: nondisplaced fracture (compression side) Expectant treatment L: nondisplaced fracture Joseph [16] Female 46 Osteoporosis and steroid use Bilateral nondisplaced fracture (compression side) L: DHS R: DHS Haddad [17] Female 56 Steroid use L: displaced fracture Bilateral internal fixation with cannulated screw R: nondisplaced fracture Tomar [18] Female 58 Vitamin D deficiency L: nondisplaced fracture (compression side) L: THA R: nondisplaced fracture (tension side) R: THA Martin [19] Female 65 Osteoporosis R: displaced fracture R: hemiarthroplasty Chamseddine [20] Female 71 Osteoporosis and vitamin D deficiency L: displaced fracture L: hemiarthroplasty R: nondisplaced fracture R: Hemiarthroplasty Sathyanarayana [21] Male 23 Renal osteopathy Bilateral displaced fracture L: hemiarthroplasty R: hemiarthroplasty Mariani [22] Male 24 Vitamin D deficiency Bilateral displaced fracture L: THA R: THA Chouhan [23] Male 32…”

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

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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.

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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

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“…Unilateral stress fracture of the femoral neck following TKA is a rare complication; only 21 cases have been described in Case Reports in Orthopedics English literature so far [2][3][4][5][6][7][8][9][10] (Table 1). There are only two cases of bilateral stress fractures of the femoral neck occurring simultaneously following a bilateral TKA [11,12].…”

Section: Discussionmentioning

confidence: 99%

“…Stress fractures of the femoral neck have been described either as a result of excessive loading of the hip in a patient with normal bones such as athletes and military recruits, or as a result of normal loading of the hip in a patient with weakened bones, such as those with osteoporosis and rheumatoid disease who are receiving steroid therapy [1]. Unilateral stress fractures of the femoral neck following total knee arthroplasty (TKA) are a rare complication; only 21 cases have been described so far [2][3][4][5][6][7][8][9][10]. To the best of our knowledge, there are only two reported cases of bilateral stress fractures of the femoral neck occurring simultaneously following a bilateral TKA [11,12].…”

Section: Introductionmentioning

confidence: 99%

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

Morinaga

Ueshima

Maruhashi

et al. 2020

Case Reports in Orthopedics

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Unilateral stress fracture of the femoral neck following total knee arthroplasty (TKA) is a rare complication; only 21 cases are described in English literature so far. Bilateral stress fractures of the femoral neck occurring simultaneously following a bilateral TKA have been seen in only 2 cases till now. We report a patient suffering from rheumatoid arthritis of both knees, who was treated with bilateral TKA. She developed spontaneous fractures of the femoral neck on both sides 12 months following the TKA. She was treated with bilateral total hip arthroplasty (THA). Stress fracture of the femoral neck should be suspected in patients complaining of hip pain who have undergone TKA.

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Femoral neck prosthesis in the case of femoral neck fracture and ipsilateral long stem-knee tumour prosthesis

Eichinger

Forst

2005

Unfallchirurg

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Femoral neck fracture in the case of a previously implanted ipsilateral tumour knee-prosthesis represents a challenging situation because of the long proximal stem of the knee implant. Avoiding total femur replacement, we implanted a femoral neck prosthesis (Eska Cut 2000) in a 65 year old patient to preserve as much of the femur free of implant as possible, minimizing the risk of a periprosthetic or interprosthetic fracture. At 2.5 years postoperatively, there were no signs of loosening, migration or periprosthetic fracture with a good functional result. In our case, the femoral neck prosthesis avoided the implantation of a total femur replacement. Nevertheless, this prosthesis must be considered critically and cannot be recommended as the standard implant for femoral neck fracture in the case of an ipsilateral long stem-knee prosthesis.

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Subcapital stress fracture of the femoral neck after total knee arthroplasty

Cited by 5 publications

References 8 publications

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

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

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

Femoral neck prosthesis in the case of femoral neck fracture and ipsilateral long stem-knee tumour prosthesis

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