Fracture of the neck of an uncemented femoral component unrelated to trunnion corrosion


Journal Article

© 2019 The Authors This is the first report, to our knowledge, of a fracture, unrelated to trunnion corrosion, through the midneck of a well-fixed uncemented cobalt-chromium alloy femoral component that had been implanted via a total hip revision arthroplasty 25 years ago. Three years after a second revision for polyethylene wear, the patient noted an acute onset of pain in the left hip. There was no antecedent pain in the hip or thigh. Radiographs and intraoperative findings showed a well-fixed femoral component. Electron microscopic retrieval analysis showed intergranular material cracks. Revision of the femoral component was performed with an extended trochanteric osteotomy. This fracture of the femoral component neck was likely related to metal fabrication techniques, and surveillance of this component may be warranted.

Full Text

Duke Authors

Cited Authors

  • Peterson, JR; Wright, TM; Wellman, SS; Lachiewicz, PF

Published Date

  • March 1, 2019

Published In

Volume / Issue

  • 5 / 1

Start / End Page

  • 52 - 56

Electronic International Standard Serial Number (EISSN)

  • 2352-3441

Digital Object Identifier (DOI)

  • 10.1016/j.artd.2019.01.006

Citation Source

  • Scopus