Case report: Cementless stem stabilization after intraoperative fracture: a radiostereometric analysis.

Campbell, David; Mercer, Graham; Nilsson, Kjell G; Callary, Stuart A · Clin Orthop Relat Res · 2010

case_report · Level V

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Abstract

We present the case of a patient with intraoperative femoral fracture during THA, which was repaired using cerclage fixation and insertion of an hydroxyapatite-coated cementless stem. The patient was evaluated postoperatively using radiostereometry during a 2-year course, and despite a large amount of subsidence and rotation, stabilization occurred and was maintained by 6 months. By evaluating the pattern of stem migration after intraoperative fracture, this case shows, even in the presence of instability, a successful clinical outcome can be achieved using an hydroxyapatite-coated cementless stem.

Medical subject headings

Anatomy