'Pathological' fracture of the femur--a complication of failed total hip arthroplasty. Academic Article uri icon

  •  
  • Overview
  •  
  • Research
  •  
  • Identity
  •  
  • Additional Document Info
  •  
  • View All
  •  

abstract

  • Ten patients with a major femur fracture complicating total hip arthroplasty were seen at the Princess Alice Orthopaedic Hospital between June 1986 and May 1988. Four cases were intra-operative fractures sustained at revision surgery and 6 were late postoperative fractures of the femur associated with minimal trauma. Eight patients have a pain-free and functional hip arthroplasty at a mean follow-up of 19.7 months (range 17-32 months). One patient developed deep sepsis and 1 persistent non-union: both are now well mobilised following excision arthroplasty. Predisposing factors are identified and the importance of timeous intervention to avoid this challenging complication is stressed.

publication date

  • February 16, 1991