Atalar Hakan, Aytekin Mahmut Nedim, Gunay Cuneyd, Yavuz Osman Yuksel
Department of Orthopaedic Surgery and Traumatology, Fatih University, Ankara, Turkey.
Acta Orthop Belg. 2008 Jun;74(3):418-20.
Stress fracture of the femoral neck is a rare complication of total knee arthroplasty. We report a case of femoral neck fracture following revision arthroplasty of the ipsilateral knee. Contributing factors may have been the patient's osteoporosis and a period of immobilisation before the revision arthroplasty. The patient was treated successfully with hemiarthroplasty of the hip. In patients who have undergone total knee arthroplasty, complaints of groin pain that radiates to the involved knee should alert to the possibility of a stress fracture of the femoral neck.
股骨颈应力性骨折是全膝关节置换术罕见的并发症。我们报告一例同侧膝关节翻修置换术后发生股骨颈骨折的病例。促成因素可能是患者的骨质疏松以及翻修置换术前的一段制动期。该患者接受髋关节半关节置换术治疗成功。对于接受过全膝关节置换术的患者,腹股沟疼痛并放射至患侧膝关节的主诉应警惕股骨颈应力性骨折的可能性。