Hip Pelvis.  2012 Dec;24(4):322-327. 10.5371/hp.2012.24.4.322.

Repeated Periprosthethic Femoral Fracture in a Below Knee Amputee with Ipsilateral Cementless Total Hip Arthroplasty: A Case Report

• Yang JH
• Yoon JR
• Park SB
• Yun HH

• KMID: 1425049
• DOI: http://doi.org/10.5371/hp.2012.24.4.322

Abstract

Total hip arthroplasty (THA) is rarely performed in below-knee amputee patients. To the best of the authors' knowledge, periprosthetic femoral fracture in such patients has not been previously reported. Such devastating complication can occur even with minor trauma. To prevent occurrence of such events, there may be several important factors to be considered in performance of THA surgery in below-knee amputee patients and during the course of rehabilitation. In this report, we describe a case involving a below-knee amputee patient who experienced multiple periprosthetic femoral fractures after THA.

Keyword

Periprosthetic femoral fracture; Total hip arthroplasty; Below-knee amputee

MeSH Terms

Amputees
Arthroplasty
Femoral Fractures
Hip
Humans
Knee
Tacrine
Tacrine

Figure

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  Fig. 1 (A) Pre- and (B) postoperative anteroposterior radiograph. Postoperative radiographs revealed an acceptable implant position.

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  Fig. 2 First periprosthetic fracture. A Vancouver type B1 periprosthethic femoral fracture was stabilized by the multiple cerclage wires. (A) pre- (B) postoperative anteroposterior radiograph.

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  Fig. 3 Second periprosthetic fracture. A Vancouver type B1 periprosthethic femoral fracture (arrow) occurred at the tip of femoral stem.

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  Fig. 4 Fracture stabilization was performed by use of locking plate.

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