Risk of Periprosthetic Femoral Neck Fracture After Hip Resurfacing Arthroplasty: Valgus Compared with Anatomic Alignment

2008 ◽  
Vol 90 (Suppl 3) ◽  
pp. 96-101 ◽  
Author(s):  
Corey J Richards ◽  
Demetri Giannitsios ◽  
Olga L Huk ◽  
David J Zukor ◽  
Thomas Steffen ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Hip Resurfacing ◽  
Hip Resurfacing Arthroplasty ◽  
Resurfacing Arthroplasty ◽  
Neck Fracture ◽  
Anatomic Alignment

Femoral Neck Fracture After Birmingham Hip Resurfacing Arthroplasty

2013 ◽  
Vol 28 (1) ◽  
pp. 147-153 ◽  
Author(s):  
Gulraj S. Matharu ◽  
Callum W. McBryde ◽  
Matthew P. Revell ◽  
Paul B. Pynsent
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Hip Resurfacing ◽  
Hip Resurfacing Arthroplasty ◽  
Resurfacing Arthroplasty ◽  
Birmingham Hip Resurfacing ◽  
Neck Fracture

BIOMECHANICAL STUDY ON MECHANISMS OF FEMORAL NECK FRACTURE AFTER HIP RESURFACING ARTHROPLASTY

2019 ◽  
Vol 19 (05) ◽  
pp. 1950042
Author(s):  
WEN-HSIANG CHOU ◽  
CHIEN-WEI LIU
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Recovery Period ◽  
Hip Resurfacing ◽  
Shielding Effect ◽  
Element Analysis ◽  
Hip Resurfacing Arthroplasty ◽  
Resurfacing Arthroplasty ◽  
Neck Fracture ◽  
The Impact

Hip resurfacing arthroplasty (HRA) is a long-established procedure. It is a minimally invasive surgery where the surgical wound is relatively small to facilitate a shorter recovery period. HRA remained a popular option among the patients allowing better range of motion of the joint compared to that of total hip arthroplasty (THA). Although HRA is associated with the above advantages, complications involving femoral neck fractures after surgery still occur. Therefore, the present study attempts to assess the impact of stress under various alignment conditions and different scenarios in surgical errors upon the femoral neck in hip resurfacing prostheses (HRP) that may be encountered during the procedure using finite element analysis (FEA) technique. The results showed that anteversion implantation errors on femoral components should be avoided, and that the main reason that causes femoral neck fracture is related to the stress shielding effect generated internally in the femoral neck. Methods to prevent the incidence of such events are a major obstacle to be solved in the future.

Hip resurfacing arthroplasty for patients with inflammatory arthritis: a systematic review

2017 ◽  
Vol 28 (1) ◽  
pp. 11-17
Author(s):  
Kyle W. Morse ◽  
Edwin P. Su
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Functional Outcomes ◽  
Inflammatory Arthritis ◽  
Hip Resurfacing ◽  
Harris Hip Score ◽  
Cochrane Library ◽  
Hip Resurfacing Arthroplasty ◽  
Resurfacing Arthroplasty ◽  
Neck Fracture

Introduction: Modern metal-on-metal hip resurfacing arthroplasty has led to decreased revision rates and high implant survival rates as compared to prior generations of resurfacing. Many of the series that report on resurfacing outcomes focus upon patients treated with a diagnosis of osteoarthritis. Patients with inflammatory arthritis such as rheumatoid arthritis (RA) and ankylosing spondylitis (AS) are also treated in these series, however, their outcomes following resurfacing are underreported. The aim of this study was to determine complications that may occur following hip resurfacing in patients with inflammatory arthritis. A secondary aim was to determine functional outcomes following resurfacing. Methods: A search was performed in MEDLINE (PubMed/OVID), Cochrane Library, and Google Scholar. 5 studies met eligibility criteria. This review includes 196 hips; 120 had a diagnosis of AS or seronegative spondyloarthropathy and 76 had a diagnosis of RA or juvenile RA. 8 revisions were reported at a mean time of 64.2 (8.67-275.58) weeks. Results: Femoral neck fracture was the most common indication for revision, occurring in 3.06% of all hips at 34.5 weeks (16.0-52.0). 2 infections, 2 reports of acetabular radiolucency, and no dislocations were reported. The University of California at Los Angeles score, Harris Hip Score, and Range of Motion were the most common functional outcomes measured, which increased in the majority of studies following resurfacing. Conclusions: Femoral neck fracture was the most common reason for revision in patients with inflammatory arthritis following resurfacing and there were no dislocations reported. Following resurfacing, these patients have improved functional outcomes.

scholarly journals Femoral Neck Fractures Complicating Metal-on-Metal Resurfaced Hips: A Report of 2 Cases

2005 ◽  
Vol 13 (1) ◽  
pp. 69-72 ◽  
Author(s):  
H Sharma ◽  
B Rana ◽  
C Watson ◽  
AC Campbell ◽  
BJ Singh
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Hip Replacement ◽  
Hip Resurfacing ◽  
Review Of The Literature ◽  
Resurfacing Arthroplasty ◽  
Metal On Metal ◽  
Hip Disease ◽  
Neck Fracture ◽  
Technical Complication

Metal-on-metal hip resurfacing arthroplasty is increasingly popular for younger patients with advanced hip disease. Intra-operative or immediate postoperative femoral neck fracture after metal-on-metal hip resurfacing is a well-described technical complication, ranging from 0% to 1.5%. We report 2 cases of late femoral neck fracture occurring 8 and 15 months following the index operation, with a review of the literature. We recommend that patient selection should be of prime importance before embarking on metal-on-metal surface hip replacement to avoid such complications.

scholarly journals CUSTOMIZED GUIDE FOR FEMORAL COMPONENT POSITIONING IN HIP RESURFACING ARTHROPLASTY

2017 ◽  
Vol 25 (2) ◽  
pp. 103-106
Author(s):  
Chaturong Pornrattanamaneewong ◽  
Rapeepat Narkbunnam ◽  
Keerati Chareancholvanich
Keyword(s):  
Femoral Neck ◽  
Three Dimensional ◽  
Posterior Part ◽  
Image Intensifier ◽  
Hip Resurfacing ◽  
Three Dimensional Model ◽  
Level Of Evidence ◽  
Hip Resurfacing Arthroplasty ◽  
Femoral Neck Axis ◽  
Resurfacing Arthroplasty

ABSTRACT Objective: To prove the accuracy of a customized guide developed according to our method. Methods: This customized guide was developed from a three-dimensional model of proximal femur reconstructed using computed tomography data. Based on the new technique, the position of the guide pin insertion was selected and adjusted using the reference of the anatomical femoral neck axis. The customized guide consists of a hemispheric covering designed to fit the posterior part of the femoral neck. The performance of the customized guide was tested in eight patients scheduled for total hip arthroplasty. The stability of the customized guide was assessed by orthopedic surgeons. An intraoperative image intensifier was used to assess the accuracy. Results: The customized guide was stabilized with full contact and was fixed in place in all patients. The mean angular deviations in relation to the what was planned in anteroposterior and lateral hip radiographs were 0.5º ± 1.8º in valgus and 1.0º ± 2.4º in retroversion, respectively. Conclusion: From this pilot test, the authors suggest that the proposed technique could be applied as a customized guide to the positioning device for hip resurfacing arthroplasty with acceptable accuracy and user-friendly interface. Level of Evidence IV, Cases Series.

Hip Resurfacing Arthroplasty in Patients with Varus Deformity of the Femoral Neck-Shaft Angle

2011 ◽  
Vol 21 (2) ◽  
pp. 225-230 ◽  
Author(s):  
Graeme S. Carlile ◽  
Christopher P. Wakeling ◽  
Nichola Fuller ◽  
Darren Fern ◽  
Mark R. Norton
Keyword(s):  
Femoral Neck ◽  
Varus Deformity ◽  
Hip Resurfacing ◽  
Hip Resurfacing Arthroplasty ◽  
Neck Shaft Angle ◽  
Resurfacing Arthroplasty ◽  
Shaft Angle

Predictors of Femoral Neck Fracture Following Hip Resurfacing: A Cadaveric Study

2013 ◽  
Vol 28 (1) ◽  
pp. 110-116 ◽  
Author(s):  
Edward T. Davis ◽  
Michael Olsen ◽  
Rad Zdero ◽  
Gemma M. Smith ◽  
James P. Waddell ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Hip Resurfacing ◽  
Cadaveric Study ◽  
Neck Fracture
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