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Fracture risk of tapered modular revision stems: a failure analysis.


ABSTRACT: Fractures of well-ingrown femoral components are a rare and often challenging complication after revision total hip arthroplasty. Prior series have documented catastrophic failure at the modular junction of revision femoral components. However, to the authors' knowledge, there has been only 1 report of a mid-stem fracture of a modular tapered revision stem. The present article reports 2 cases of fatigue fractures (14 months and 10 years after implantation) of a tapered modular revision stem. It presents the results of the fracture surface analysis, discusses the etiology of failure, and presents the authors' recommendations on how to best avoid this complication.

SUBMITTER: Rueckl K 

PROVIDER: S-EPMC6123177 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Fracture risk of tapered modular revision stems: a failure analysis.

Rueckl Kilian K   Sculco Peter K PK   Berliner Jonathan J   Cross Michael B MB   Koch Chelsea C   Boettner Friedrich F  

Arthroplasty today 20171221 3


Fractures of well-ingrown femoral components are a rare and often challenging complication after revision total hip arthroplasty. Prior series have documented catastrophic failure at the modular junction of revision femoral components. However, to the authors' knowledge, there has been only 1 report of a mid-stem fracture of a modular tapered revision stem. The present article reports 2 cases of fatigue fractures (14 months and 10 years after implantation) of a tapered modular revision stem. It  ...[more]

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