Garg Bhavuk, Mittal Ravi, Rastogi Shishir
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Acta Orthop Belg. 2011 Jun;77(3):406-9.
Fracture of the femoral prosthesis neck following total hip arthroplasty is not common. We report a case of femoral prosthesis neck fracture in an adult male patient following modular, uncemented total hip arthroplasty. This case report further emphasizes the importance of the potentially high loading situation in the prosthetic femoral neck. On the other hand, the occurrence of a femoral prosthesis neck fracture in a cementless system denotes a well fixed distal stem and calls for a difficult revision procedure usually requiring an extended trochanteric osteotomy for stem retrieval.
全髋关节置换术后股骨假体颈部骨折并不常见。我们报告一例成年男性患者在接受模块化、非骨水泥型全髋关节置换术后发生股骨假体颈部骨折的病例。本病例报告进一步强调了假体股骨颈潜在高负荷情况的重要性。另一方面,在非骨水泥系统中发生股骨假体颈部骨折表明远端柄固定良好,这需要进行困难的翻修手术,通常需要延长转子截骨术来取出柄。