Nontraumatic Fracture of the Femoral Condylar Prosthesis in a Total Knee Arthroplasty Leading to Mechanical Failure

This paper reports a case of fatigue fracture of the femoral component in a cruciate-retaining cemented total knee arthroplasty (TKA). A 64-year-old man had undergone a primary TKA for osteoarthritis 10 years previously at another institution using the PFC-Sigma prosthesis. The patient recovered ful...

Full description

Saved in:
Bibliographic Details
Main Authors: Girish N. Swamy, Conal Quah, Elmunzar Bagouri, Nitin P. Badhe
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/896348
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832561845950480384
author Girish N. Swamy
Conal Quah
Elmunzar Bagouri
Nitin P. Badhe
author_facet Girish N. Swamy
Conal Quah
Elmunzar Bagouri
Nitin P. Badhe
author_sort Girish N. Swamy
collection DOAJ
description This paper reports a case of fatigue fracture of the femoral component in a cruciate-retaining cemented total knee arthroplasty (TKA). A 64-year-old man had undergone a primary TKA for osteoarthritis 10 years previously at another institution using the PFC-Sigma prosthesis. The patient recovered fully and was back to his regular activities. He presented with a history of sudden onset pain and locking of the left knee since the preceding three months. There was no history of trauma, and the patient was mobilizing with difficulty using crutches. Radiographs revealed fracture of the posterior condyle of the femoral prosthesis. Revision surgery was performed as an elective procedure revealing the broken prosthesis. The TC3RP-PFC revision prosthesis was used with a medial parapatellar approach. The patient recovered fully without any squeal. Mechanical failure of the knee arthroplasty prosthesis is rare, and nontraumatic fracture of the femoral metallic component has not been reported before.
format Article
id doaj-art-63642182ff3640d1bdbed6603cf85124
institution Kabale University
issn 2090-6749
2090-6757
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-63642182ff3640d1bdbed6603cf851242025-02-03T01:24:00ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/896348896348Nontraumatic Fracture of the Femoral Condylar Prosthesis in a Total Knee Arthroplasty Leading to Mechanical FailureGirish N. Swamy0Conal Quah1Elmunzar Bagouri2Nitin P. Badhe3Trauma and Orthopaedics, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UKTrauma and Orthopaedics, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UKTrauma and Orthopaedics, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UKTrauma and Orthopaedics, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UKThis paper reports a case of fatigue fracture of the femoral component in a cruciate-retaining cemented total knee arthroplasty (TKA). A 64-year-old man had undergone a primary TKA for osteoarthritis 10 years previously at another institution using the PFC-Sigma prosthesis. The patient recovered fully and was back to his regular activities. He presented with a history of sudden onset pain and locking of the left knee since the preceding three months. There was no history of trauma, and the patient was mobilizing with difficulty using crutches. Radiographs revealed fracture of the posterior condyle of the femoral prosthesis. Revision surgery was performed as an elective procedure revealing the broken prosthesis. The TC3RP-PFC revision prosthesis was used with a medial parapatellar approach. The patient recovered fully without any squeal. Mechanical failure of the knee arthroplasty prosthesis is rare, and nontraumatic fracture of the femoral metallic component has not been reported before.http://dx.doi.org/10.1155/2014/896348
spellingShingle Girish N. Swamy
Conal Quah
Elmunzar Bagouri
Nitin P. Badhe
Nontraumatic Fracture of the Femoral Condylar Prosthesis in a Total Knee Arthroplasty Leading to Mechanical Failure
Case Reports in Orthopedics
title Nontraumatic Fracture of the Femoral Condylar Prosthesis in a Total Knee Arthroplasty Leading to Mechanical Failure
title_full Nontraumatic Fracture of the Femoral Condylar Prosthesis in a Total Knee Arthroplasty Leading to Mechanical Failure
title_fullStr Nontraumatic Fracture of the Femoral Condylar Prosthesis in a Total Knee Arthroplasty Leading to Mechanical Failure
title_full_unstemmed Nontraumatic Fracture of the Femoral Condylar Prosthesis in a Total Knee Arthroplasty Leading to Mechanical Failure
title_short Nontraumatic Fracture of the Femoral Condylar Prosthesis in a Total Knee Arthroplasty Leading to Mechanical Failure
title_sort nontraumatic fracture of the femoral condylar prosthesis in a total knee arthroplasty leading to mechanical failure
url http://dx.doi.org/10.1155/2014/896348
work_keys_str_mv AT girishnswamy nontraumaticfractureofthefemoralcondylarprosthesisinatotalkneearthroplastyleadingtomechanicalfailure
AT conalquah nontraumaticfractureofthefemoralcondylarprosthesisinatotalkneearthroplastyleadingtomechanicalfailure
AT elmunzarbagouri nontraumaticfractureofthefemoralcondylarprosthesisinatotalkneearthroplastyleadingtomechanicalfailure
AT nitinpbadhe nontraumaticfractureofthefemoralcondylarprosthesisinatotalkneearthroplastyleadingtomechanicalfailure