Fracture of a Femoral Revision Stem following a Technical Failure

We report about a fracture of a modular, uncemented femoral revision stem (Zimmer, Revitan®) due to a not previously described intraoperative technical problem. During implantation, a small ring, part of the proximal part of the trial stem, was left on the distal part of the definite stem. Following...

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Main Authors: Falko Herold, Henk Eijer
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/9691627
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author Falko Herold
Henk Eijer
author_facet Falko Herold
Henk Eijer
author_sort Falko Herold
collection DOAJ
description We report about a fracture of a modular, uncemented femoral revision stem (Zimmer, Revitan®) due to a not previously described intraoperative technical problem. During implantation, a small ring, part of the proximal part of the trial stem, was left on the distal part of the definite stem. Following this, the top screwcap of the proximal part of the definite stem could not be tightened properly. However, the stem was thought to be stable, and the situation left. Two and a half years later, the proximal part of the stem fractured and the situation became unstable. It is very useful to know about this ring and that it should always be removed, otherwise, there is possibility that it may be left on the definite distal part of the stem with the possibility of a later fracture.
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spelling doaj-art-ab05924ead8a4395a8a7783e2b7ca8d12025-08-20T02:20:12ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/96916279691627Fracture of a Femoral Revision Stem following a Technical FailureFalko Herold0Henk Eijer1Department of Orthopaedic Surgery, RS Emmental AG, Burgdorf, SwitzerlandDepartment of Orthopaedic Surgery, RS Emmental AG, Burgdorf, SwitzerlandWe report about a fracture of a modular, uncemented femoral revision stem (Zimmer, Revitan®) due to a not previously described intraoperative technical problem. During implantation, a small ring, part of the proximal part of the trial stem, was left on the distal part of the definite stem. Following this, the top screwcap of the proximal part of the definite stem could not be tightened properly. However, the stem was thought to be stable, and the situation left. Two and a half years later, the proximal part of the stem fractured and the situation became unstable. It is very useful to know about this ring and that it should always be removed, otherwise, there is possibility that it may be left on the definite distal part of the stem with the possibility of a later fracture.http://dx.doi.org/10.1155/2018/9691627
spellingShingle Falko Herold
Henk Eijer
Fracture of a Femoral Revision Stem following a Technical Failure
Case Reports in Orthopedics
title Fracture of a Femoral Revision Stem following a Technical Failure
title_full Fracture of a Femoral Revision Stem following a Technical Failure
title_fullStr Fracture of a Femoral Revision Stem following a Technical Failure
title_full_unstemmed Fracture of a Femoral Revision Stem following a Technical Failure
title_short Fracture of a Femoral Revision Stem following a Technical Failure
title_sort fracture of a femoral revision stem following a technical failure
url http://dx.doi.org/10.1155/2018/9691627
work_keys_str_mv AT falkoherold fractureofafemoralrevisionstemfollowingatechnicalfailure
AT henkeijer fractureofafemoralrevisionstemfollowingatechnicalfailure