An Unconventional Solution for Persistent Lateral Hip Prosthetic Friction Syndrome (LHPFS) after Revision Total Hip Arthroplasty

We report on a 77-year-old male patient, who presented with excessive bone loss at the area of the greater trochanter after several hip revision surgeries resulting in a persistent friction syndrome caused directly by the rough surface and sharp edges of the prosthetic shoulder of a well-fixed Wagne...

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Main Authors: Matthias Wittauer, Karl Stoffel
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2024/7934419
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author Matthias Wittauer
Karl Stoffel
author_facet Matthias Wittauer
Karl Stoffel
author_sort Matthias Wittauer
collection DOAJ
description We report on a 77-year-old male patient, who presented with excessive bone loss at the area of the greater trochanter after several hip revision surgeries resulting in a persistent friction syndrome caused directly by the rough surface and sharp edges of the prosthetic shoulder of a well-fixed Wagner-type revision stem. Surgery was performed by creating a cemented neotrochanter with an attached polyester patch around the proximal lateral shaft and performing a Z-plasty of the iliotibial tract. Twelve months postoperatively, the patient reported a reduction in subjective pain of 50% and improvement of the Harris Hip Score from 45 to 75 points. Without a definition in the current literature, the authors propose the term “lateral hip prosthetic friction syndrome” (LHPFS) to describe this medical condition.
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spelling doaj-art-baeba33fcedd474ab6e17756bed6a5a42025-08-20T02:19:21ZengWileyCase Reports in Orthopedics2090-67572024-01-01202410.1155/2024/7934419An Unconventional Solution for Persistent Lateral Hip Prosthetic Friction Syndrome (LHPFS) after Revision Total Hip ArthroplastyMatthias Wittauer0Karl Stoffel1Department of Trauma and Orthopaedic SurgeryDepartment of Trauma and Orthopaedic SurgeryWe report on a 77-year-old male patient, who presented with excessive bone loss at the area of the greater trochanter after several hip revision surgeries resulting in a persistent friction syndrome caused directly by the rough surface and sharp edges of the prosthetic shoulder of a well-fixed Wagner-type revision stem. Surgery was performed by creating a cemented neotrochanter with an attached polyester patch around the proximal lateral shaft and performing a Z-plasty of the iliotibial tract. Twelve months postoperatively, the patient reported a reduction in subjective pain of 50% and improvement of the Harris Hip Score from 45 to 75 points. Without a definition in the current literature, the authors propose the term “lateral hip prosthetic friction syndrome” (LHPFS) to describe this medical condition.http://dx.doi.org/10.1155/2024/7934419
spellingShingle Matthias Wittauer
Karl Stoffel
An Unconventional Solution for Persistent Lateral Hip Prosthetic Friction Syndrome (LHPFS) after Revision Total Hip Arthroplasty
Case Reports in Orthopedics
title An Unconventional Solution for Persistent Lateral Hip Prosthetic Friction Syndrome (LHPFS) after Revision Total Hip Arthroplasty
title_full An Unconventional Solution for Persistent Lateral Hip Prosthetic Friction Syndrome (LHPFS) after Revision Total Hip Arthroplasty
title_fullStr An Unconventional Solution for Persistent Lateral Hip Prosthetic Friction Syndrome (LHPFS) after Revision Total Hip Arthroplasty
title_full_unstemmed An Unconventional Solution for Persistent Lateral Hip Prosthetic Friction Syndrome (LHPFS) after Revision Total Hip Arthroplasty
title_short An Unconventional Solution for Persistent Lateral Hip Prosthetic Friction Syndrome (LHPFS) after Revision Total Hip Arthroplasty
title_sort unconventional solution for persistent lateral hip prosthetic friction syndrome lhpfs after revision total hip arthroplasty
url http://dx.doi.org/10.1155/2024/7934419
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AT matthiaswittauer unconventionalsolutionforpersistentlateralhipprostheticfrictionsyndromelhpfsafterrevisiontotalhiparthroplasty
AT karlstoffel unconventionalsolutionforpersistentlateralhipprostheticfrictionsyndromelhpfsafterrevisiontotalhiparthroplasty