Revision of a Fractured Uncemented Revision Stem Using a Custom Designed Punch and Retrograde Through-Knee Approach

We report a unique case of a fractured modular cobalt chromium connection taper Revitan (Zimmer, Warsaw, IN) revision prosthesis. Macroscopic examination revealed a fracture at the diaphyseal-metaphyseal junction of this modular component. This report highlights that fractures can still occur with m...

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Main Authors: P. J. Nasr, G. S. Keene
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/485729
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author P. J. Nasr
G. S. Keene
author_facet P. J. Nasr
G. S. Keene
author_sort P. J. Nasr
collection DOAJ
description We report a unique case of a fractured modular cobalt chromium connection taper Revitan (Zimmer, Warsaw, IN) revision prosthesis. Macroscopic examination revealed a fracture at the diaphyseal-metaphyseal junction of this modular component. This report highlights that fractures can still occur with modern modular prostheses. We are not aware of any published failures of the Revitan revision prosthesis. We also describe a unique method of retrieval for a broken well fixed uncemented femoral stem, using a custom designed extraction instrument via a through-knee approach.
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2090-6757
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spelling doaj-art-a7f6cd04d3f349ab8b9f399e3d18e4662025-08-20T02:20:56ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/485729485729Revision of a Fractured Uncemented Revision Stem Using a Custom Designed Punch and Retrograde Through-Knee ApproachP. J. Nasr0G. S. Keene1Addenbrooke’s Hospital, Cambridge Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UKAddenbrooke’s Hospital, Cambridge Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UKWe report a unique case of a fractured modular cobalt chromium connection taper Revitan (Zimmer, Warsaw, IN) revision prosthesis. Macroscopic examination revealed a fracture at the diaphyseal-metaphyseal junction of this modular component. This report highlights that fractures can still occur with modern modular prostheses. We are not aware of any published failures of the Revitan revision prosthesis. We also describe a unique method of retrieval for a broken well fixed uncemented femoral stem, using a custom designed extraction instrument via a through-knee approach.http://dx.doi.org/10.1155/2015/485729
spellingShingle P. J. Nasr
G. S. Keene
Revision of a Fractured Uncemented Revision Stem Using a Custom Designed Punch and Retrograde Through-Knee Approach
Case Reports in Orthopedics
title Revision of a Fractured Uncemented Revision Stem Using a Custom Designed Punch and Retrograde Through-Knee Approach
title_full Revision of a Fractured Uncemented Revision Stem Using a Custom Designed Punch and Retrograde Through-Knee Approach
title_fullStr Revision of a Fractured Uncemented Revision Stem Using a Custom Designed Punch and Retrograde Through-Knee Approach
title_full_unstemmed Revision of a Fractured Uncemented Revision Stem Using a Custom Designed Punch and Retrograde Through-Knee Approach
title_short Revision of a Fractured Uncemented Revision Stem Using a Custom Designed Punch and Retrograde Through-Knee Approach
title_sort revision of a fractured uncemented revision stem using a custom designed punch and retrograde through knee approach
url http://dx.doi.org/10.1155/2015/485729
work_keys_str_mv AT pjnasr revisionofafractureduncementedrevisionstemusingacustomdesignedpunchandretrogradethroughkneeapproach
AT gskeene revisionofafractureduncementedrevisionstemusingacustomdesignedpunchandretrogradethroughkneeapproach