Case ReportsStem fracture after hemiresurfacing for femoral head osteonecrosis☆,☆☆
Section snippets
Case report
A healthy, 15-year-old boy presented to our clinic with bilateral hip pain. A year before presentation, he sustained bilateral hip dislocations with right sciatic nerve injury after a motor vehicle accident. After delayed closed reduction and several surgical procedures, he presented to our clinic with severe bilateral hip pain, left greater than right. He required 2 crutches to walk and reported that daily activities were extremely difficult. Other than the trauma, his past medical history was
Discussion
Many known conditions can lead to the development of osteonecrosis of the femoral head. Steroid use, alcohol abuse, inflammatory diseases, trauma, and sickle cell disease are all potential risk factors 1, 2, 3, 4, 5. Surgical treatment of this condition in the young patient is controversial 11, 12, 13, 14. Core decompression with or without grafting, bipolar hemiarthroplasty, femoral osteotomy, total hip arthroplasty, and hemiresurfacing are various surgical options available for the treatment
References (21)
- et al.
Total hip arthroplasty for osteonecrosis: matched-pair analysis of 188 hips with long-tem follow-up
J Arthroplasty
(1999) - et al.
Resurfacing of only the femoral head for osteonecrosis
J Arthroplasty
(1997) - et al.
Duration of symptoms and outcome of hemiresurfacing for hip osteonecrosis
Clin Orthop
(2001) Core decompression
Semin Arthroplasty
(1998)Femoral endoprostheses and total hip replacement for avascular necrosis
Semin Arthroplasty
(1998)- et al.
The conservative surgical treatment of idiopathic aseptic necrosis of the femoral head
J Bone Joint Surg Br
(1954) - et al.
Trans-trochanteric anterior rotational osteotomy for idiopathic and steroid-induced necrosis of the femoral head
Clin Orthop
(1992) - et al.
Total hip replacement in patients younger than thirty years old
J Bone Joint Surg Am
(1981) - et al.
Surface replacement hemiarthroplasty for the treatment of osteonecrosis of the femoral head
J Bone Joint Surg Am
(1998) - et al.
Hemiresurfacing for femoral head osteonecrosis
J Arthroplasty
(1987)
Cited by (14)
Is Hemiresurfacing Arthroplasty for Osteonecrosis of the Hip a Viable Solution?
2015, Journal of ArthroplastyCitation Excerpt :A review of PubMed, Web of Science, CINAHL, and Cochrane literature searches revealed a total of 430 patients (492 hips) from 14 selected articles which have been reported from 1987 to 2011. Several case reports were identified [13,22], but these were not included in our study. Although complete data were not available, data such as age, gender, mean follow-up, underlying medical/surgical conditions, revision rate and complications were collected.
A Mechanical Analysis of Femoral Resurfacing Implantation for Osteonecrosis of the Femoral Head
2010, Journal of ArthroplastyCitation Excerpt :Implant stem fracture is one of the rare complications of hip resurfacing arthroplasty. There are a few case reports in the literatures [30-32]. Although the cause of this complication is not apparent, osteonecrosis occurring because of surgical disruption of the vascular supply, progressive bone resorption, and cemented stem were thought to be risk factors.
Stem fracture of conserve hemiarthroplasty
2004, Journal of ArthroplastyHow to image metal-on-metal prostheses and their complications
2011, American Journal of RoentgenologyPre-clinical evaluation of ceramic femoral head resurfacing prostheses using computational models and mechanical testing
2011, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in MedicineMetal-on-metal hip resurfacings-a radiological perspective
2011, European Radiology
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No benefits or funds were received in support of this study.
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Reprint requests to: Robert T. Trousdale, MD, Mayo Clinic, Department of Orthopedics, 200 First Street SW, Rochester, MN 55904. E-mail: [email protected]