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Case Report
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| Fracture through a femoral stem prosthesis after trauma: A case report and review of the literature | ||||||
| R. F. Lyons1, C. G. Murphy1 | ||||||
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1Galway University Hospital, Saolta Hospital Group, Galway, Ireland
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| Lyons RF, Murphy CG. Fracture through a femoral stem prosthesis after trauma: A case report and review of the literature. Int J Case Rep Images 2018;9:100894Z01RL2018. |
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ABSTRACT
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Introduction: Polished tapered collarless femoral implants are in common use in primary hip arthroplasty. Fracture of this implant construct is rare. We described a previously unreported Vancouver B1/2 fracture through the femoral stem implant post trauma with no signs of loosening. Case Report: A 67-year-old male presented with pain in the left hip after a fall. He had a total hip replacement five years previously. He denied preceding symptoms. A radiograph at admission revealed Vancouver B1/2 periprosthetic fracture with femoral stem fracture. He underwent a revision operation and did well post-operatively. Conclusion:Fracture of this implant construct is rare. This case highlights that a fracture through the femoral stem implant post trauma can occur with modern implants showing no fatigue. BMI should be considered when sizing total hip arthroplasty implants. Keywords: Exeter stem, Periprosthetic hip fracture, Revision arthoplasty, Stem fracture |
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Author Contributions
R. F. Lyons – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published C. G. Murphy – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of Submission
The corresponding author is the guarantor of submission. |
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Source of Support
None |
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Consent Statement
Written informed consent was obtained from the patient for publication of this study. |
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Conflict of Interest
Author declares no conflict of interest. |
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Copyright
© 2018 R. F. Lyons et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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