Atypical Vancouver B1 periprosthetic fracture of the proximal femur in the United Kingdom: a case report challenged by myeloma, osteoporosis, infection, and recurrent implant failures
The indications for total hip replacement are increasing and not limited to osteoarthritis. Total hip replacement may also be done for trauma and pathological fractures in patients otherwise physiologically fit and active. This trend has led to an inevitable rise in complications such as periprosthe...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2024-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0069.pdf |
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| author | Sayantan Saha Azeem Ahmed Rama Mohan |
| author_facet | Sayantan Saha Azeem Ahmed Rama Mohan |
| author_sort | Sayantan Saha |
| collection | DOAJ |
| description | The indications for total hip replacement are increasing and not limited to osteoarthritis. Total hip replacement may also be done for trauma and pathological fractures in patients otherwise physiologically fit and active. This trend has led to an inevitable rise in complications such as periprosthetic femoral fracture. Periprosthetic femoral fracture can be challenging due to poor bone quality, osteoporosis, and stress fractures. We present a case of periprosthetic femoral fracture in a 71-year-old woman with some components of an atypical femoral fracture. The fracture was internally fixed but was subsequently complicated by infection, implant failure needing revision, and later stress fracture. She was on a bisphosphonate after her index total hip replacement surgery for an impending pathological left proximal femur fracture, and this may have caused the later stress fracture. Unfortunately, she then experienced implant breakage (nonunion), which was treated with a biplanar locking plate and bone grafting. The patient finally regained her premorbid mobility 13 months after the last surgery and progressed satisfactorily towards bony union. |
| format | Article |
| id | doaj-art-eff832af2dd64e68be048260010484de |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-eff832af2dd64e68be048260010484de2025-01-16T06:10:10ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-03-01371899610.20408/jti.2023.00691304Atypical Vancouver B1 periprosthetic fracture of the proximal femur in the United Kingdom: a case report challenged by myeloma, osteoporosis, infection, and recurrent implant failuresSayantan Saha0Azeem Ahmed1Rama Mohan2 Department of Trauma and Orthopaedics, North Manchester General Hospital, Manchester, UK Department of Trauma and Orthopaedics, North Manchester General Hospital, Manchester, UK Department of Trauma and Orthopaedics, North Manchester General Hospital, Manchester, UKThe indications for total hip replacement are increasing and not limited to osteoarthritis. Total hip replacement may also be done for trauma and pathological fractures in patients otherwise physiologically fit and active. This trend has led to an inevitable rise in complications such as periprosthetic femoral fracture. Periprosthetic femoral fracture can be challenging due to poor bone quality, osteoporosis, and stress fractures. We present a case of periprosthetic femoral fracture in a 71-year-old woman with some components of an atypical femoral fracture. The fracture was internally fixed but was subsequently complicated by infection, implant failure needing revision, and later stress fracture. She was on a bisphosphonate after her index total hip replacement surgery for an impending pathological left proximal femur fracture, and this may have caused the later stress fracture. Unfortunately, she then experienced implant breakage (nonunion), which was treated with a biplanar locking plate and bone grafting. The patient finally regained her premorbid mobility 13 months after the last surgery and progressed satisfactorily towards bony union.http://jtraumainj.org/upload/pdf/jti-2023-0069.pdfperiprosthetic femoral fracturehip replacement arthroplastyatypical femoral fracturesinfectionscase reports |
| spellingShingle | Sayantan Saha Azeem Ahmed Rama Mohan Atypical Vancouver B1 periprosthetic fracture of the proximal femur in the United Kingdom: a case report challenged by myeloma, osteoporosis, infection, and recurrent implant failures Journal of Trauma and Injury periprosthetic femoral fracture hip replacement arthroplasty atypical femoral fractures infections case reports |
| title | Atypical Vancouver B1 periprosthetic fracture of the proximal femur in the United Kingdom: a case report challenged by myeloma, osteoporosis, infection, and recurrent implant failures |
| title_full | Atypical Vancouver B1 periprosthetic fracture of the proximal femur in the United Kingdom: a case report challenged by myeloma, osteoporosis, infection, and recurrent implant failures |
| title_fullStr | Atypical Vancouver B1 periprosthetic fracture of the proximal femur in the United Kingdom: a case report challenged by myeloma, osteoporosis, infection, and recurrent implant failures |
| title_full_unstemmed | Atypical Vancouver B1 periprosthetic fracture of the proximal femur in the United Kingdom: a case report challenged by myeloma, osteoporosis, infection, and recurrent implant failures |
| title_short | Atypical Vancouver B1 periprosthetic fracture of the proximal femur in the United Kingdom: a case report challenged by myeloma, osteoporosis, infection, and recurrent implant failures |
| title_sort | atypical vancouver b1 periprosthetic fracture of the proximal femur in the united kingdom a case report challenged by myeloma osteoporosis infection and recurrent implant failures |
| topic | periprosthetic femoral fracture hip replacement arthroplasty atypical femoral fractures infections case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0069.pdf |
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