Доступ предоставлен для: Guest
Портал Begell Электронная Бибилиотека e-Книги Журналы Справочники и Сборники статей Коллекции
Journal of Long-Term Effects of Medical Implants
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN Печать: 1050-6934
ISSN Онлайн: 1940-4379

Выпуски:
Том 29, 2019 Том 28, 2018 Том 27, 2017 Том 26, 2016 Том 25, 2015 Том 24, 2014 Том 23, 2013 Том 22, 2012 Том 21, 2011 Том 20, 2010 Том 19, 2009 Том 18, 2008 Том 17, 2007 Том 16, 2006 Том 15, 2005 Том 14, 2004 Том 13, 2003 Том 12, 2002 Том 11, 2001 Том 10, 2000

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2014010812
pages 171-178

Implant Fracture after Long-Stemmed Cemented Hemiarthroplasty for Oncologic Indications

Aditya V. Maheshwari
Department of Pathology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA
Corey Gilbert
Department of Orthopedic Oncology, Washington Hospital Center, 110 Irving Street, Washington DC 20010; Department of Orthopaedics, Howard University Hospital, 2041 Georgia Avenue, Washington DC 20060
Jenna Noveau
Department of Orthopedic Oncology, Washington Hospital Center, 110 Irving Street, Washington DC 20010
Robert Pivec
Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center/University Hospital Brooklyn, Brooklyn, NY
Robert M. Henshaw
Orthopaedic Oncology, Washington Cancer Institute, Georgetown University School of Medicine, Washington, DC

Краткое описание

Although a long-stemmed cemented hemiarthroplasty is frequently recommended for oncologic lesions of proximal femur, we have observed an alarming number of spontaneous stem fractures. The purpose of this retrospective study was to identify the associated risk factors for stem fractures in a study cohort of 60 (61 prostheses) during 1983−2007. At a mean follow-up of 41 months, 4/61 (6.6%) stems had fractured after a mean of 36 (12−92) months after surgery. All failed implants were Osteonics Omnifit (4/27; 14.8%) and multivariate analysis did not show any correlation with other studied variables. While the failures were successfully salvaged by conversion to a modular proximal femoral replacement, any implant failure in this population is devastating. Spontaneous onset of thigh pain in patients with long stems, particularly if associated with other risk factors, should raise suspicion of a fatigue fracture of the stem.


Articles with similar content:

Long-Term Clinical Review (10-20 Years) after Reconstruction of the Anterior Cruciate Ligament Using the Leeds-Keio Synthetic Ligament
Journal of Long-Term Effects of Medical Implants, Vol.17, 2007, issue 1
Graham Sefton, Sameh Sidhom, Alex P. Jones

Service Interruptions and Their Impact on Rehabilitation Length of Stay among Ontarians with Traumatic, Subacute Spinal Cord Injury
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.30, 2018, issue 1
Heather Flett, Rohit Bhide, Carly Rivers, Jason Chen, Cathy Craven, Farnoosh Farahani, Vanessa Noonan, Dilnur Kurban

Can Both Cruciate Ligaments Be Preserved in Knee Arthroplasty? Eight- to Nine-Year Follow-Up of a Bicompartmental Knee Replacement
Journal of Long-Term Effects of Medical Implants, Vol.26, 2016, issue 4
V. Karthik Jonna, Brian Culp, Jared S. Preston, Bertrand W. Parcells, Alfred Tria

Early Results of Total Hip Arthroplasty in the Super-Obese Patients
Journal of Long-Term Effects of Medical Implants, Vol.23, 2013, issue 4
Hirschel Wohl, Jeffery J. Cherian, James D. McDermott, Michael A. Mont, Qais Naziri, Kimona Issa

Incidence and Future Projections of Periprosthetic Femoral Fracture Following Primary Total Hip Arthroplasty: An Analysis of International Registry Data
Journal of Long-Term Effects of Medical Implants, Vol.25, 2015, issue 4
Robert Pivec, Peter M. Bonutti, Jeffery J. Cherian, Aditya V. Maheshwari, Michael A. Mont, Bhaveen V. Kapadia, Kimona Issa