Rapid Acetabular Chondrolysis following Hemiarthroplasty of the Hip: A Poor Prognostic Sign

Both hemiarthroplasty and total hip arthroplasty have been well described as effective methods of management for displaced femoral neck fractures in the elderly. Acetabular erosion is a common long-term complication of hemiarthroplasty. We present a case in which rapid acetabular erosion occurs with...

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Main Authors: Abidemi Adenikinju, James D. Slover, Kenneth A. Egol
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/7328526
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author Abidemi Adenikinju
James D. Slover
Kenneth A. Egol
author_facet Abidemi Adenikinju
James D. Slover
Kenneth A. Egol
author_sort Abidemi Adenikinju
collection DOAJ
description Both hemiarthroplasty and total hip arthroplasty have been well described as effective methods of management for displaced femoral neck fractures in the elderly. Acetabular erosion is a common long-term complication of hemiarthroplasty. We present a case in which rapid acetabular erosion occurs within weeks of hemiarthroplasty, ultimately leading to an acetabular fracture and need for revision to total hip arthroplasty. Early and rapid acetabular erosion following hip hemiarthroplasty has not been well documented in current literature. It may lead to acetabular fracture and may be secondary to infectious causes. If encountered, an infection workup should be initiated.
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spelling doaj-art-2b66e8ffcd754249bd6012d17928b0b12025-02-03T01:10:55ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/73285267328526Rapid Acetabular Chondrolysis following Hemiarthroplasty of the Hip: A Poor Prognostic SignAbidemi Adenikinju0James D. Slover1Kenneth A. Egol2NYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York, NY, USANYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York, NY, USANYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York, NY, USABoth hemiarthroplasty and total hip arthroplasty have been well described as effective methods of management for displaced femoral neck fractures in the elderly. Acetabular erosion is a common long-term complication of hemiarthroplasty. We present a case in which rapid acetabular erosion occurs within weeks of hemiarthroplasty, ultimately leading to an acetabular fracture and need for revision to total hip arthroplasty. Early and rapid acetabular erosion following hip hemiarthroplasty has not been well documented in current literature. It may lead to acetabular fracture and may be secondary to infectious causes. If encountered, an infection workup should be initiated.http://dx.doi.org/10.1155/2019/7328526
spellingShingle Abidemi Adenikinju
James D. Slover
Kenneth A. Egol
Rapid Acetabular Chondrolysis following Hemiarthroplasty of the Hip: A Poor Prognostic Sign
Case Reports in Orthopedics
title Rapid Acetabular Chondrolysis following Hemiarthroplasty of the Hip: A Poor Prognostic Sign
title_full Rapid Acetabular Chondrolysis following Hemiarthroplasty of the Hip: A Poor Prognostic Sign
title_fullStr Rapid Acetabular Chondrolysis following Hemiarthroplasty of the Hip: A Poor Prognostic Sign
title_full_unstemmed Rapid Acetabular Chondrolysis following Hemiarthroplasty of the Hip: A Poor Prognostic Sign
title_short Rapid Acetabular Chondrolysis following Hemiarthroplasty of the Hip: A Poor Prognostic Sign
title_sort rapid acetabular chondrolysis following hemiarthroplasty of the hip a poor prognostic sign
url http://dx.doi.org/10.1155/2019/7328526
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