The Journal of Bone and Joint Surgery (American). 2008;90:1345-1347.
doi:10.2106/JBJS.G.00950
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Proximal Femoral Fracture After Hip Resurfacing Managed with Blade-Plate Fixation

A Case Report

Patrick Weinrauch, MBBS(Qld), MEng, FRACS(Orth)1 and Steve Krikler, BSc, PhD, FRCS(Orth)2

1 St. Andrews War Memorial Hospital, 33 North Street, Spring Hill 2LD 4000 Australia. E-mail address: p.weinrauch@qut.edu.au
2 Department of Orthopaedics and Trauma, University Hospitals Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, United Kingdom

Investigation performed at University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom

The first 150 words of the full text of this article appear below.


   Introduction
 
Periprosthetic and proximal femoral fractures that occur after hip resurfacing are a challenging problem which, with the increasing popularity of resurfacing arthroplasty, is likely to increase in frequency. In the presence of a well-fixed acetabular component, periprosthetic femoral neck fractures about a hip resurfacing implant may be successfully managed by isolated revision of the femoral component and retention of the socket. However, successful internal fixation of the fracture would allow retention of the femoral implant and salvage of a previously well-functioning resurfacing prosthesis. When the resurfacing femoral component is retained, however, the presence of the implant stem, which is centrally located in the femoral neck, causes difficulty in placing the typical implants (e.g., a screw-plate device or a cephalomedullary nail) that are used in the management of intertrochanteric and proximal femoral fractures.

We present the case of a patient in whom an intertrochanteric femoral fracture distal to a hip resurfacing . . . [Full Text of this Article]


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An Alternative Method to Treat Proximal Femoral Fractures After Hip Resurfacing Arthroplasty
Neil M Orpen, et al.
JBJS Online, 1 Dec 2008 [Full text]