Intraoperative Proximal Femoral Fracture in Primary Cementless Total Hip Arthroplasty

The Journal of Arthroplasty
Danielle Y PonzioJames J Purtill

Abstract

Intraoperative proximal femoral fracture is a complication of primary cementless total hip arthroplasty (THA) at rates of 2.95-27.8%. A retrospective review of 2423 consecutive primary cementless THA cases identified 102 hips (96 patients) with fracture. Multivariate analysis compared fracture incidences between implants, Accolade (Stryker Orthopaedics) and Tri-Lock (DePuy Orthopaedics, Inc.), and evaluated potential risk factors using a randomized control group of 1150 cases without fracture. The fracture incidence was 4.4% (102/2423), 3.7% (36/1019) using Accolade and 4.9% using Tri-Lock (66/1404) (P=0.18). Female gender (OR=1.96; 95% CI 1.19-3.23; P=0.008) and smaller stem size (OR=1.64; 95% CI 1.04-2.63; P=0.03) predicted increased odds of fracture. No revisions of the femoral component were required in the fracture cohort.

References

Feb 2, 1999·The Journal of Arthroplasty·Z FishkinI Ziv
Sep 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Darin DavidsonBassam A Masri
Nov 9, 2012·The Journal of Bone and Joint Surgery. British Volume·R E Mayle, C J Della Valle

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Citations

Nov 7, 2015·Acta Orthopaedica·Simo S A MiettinenVille Remes
May 8, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Carla TimmerJob L C van Susante
Aug 31, 2020·The Bone & Joint Journal·Nakulan Nantha KumarMichael R Whitehouse
Apr 12, 2016·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Niklas B DammNicholas E Bishop
May 27, 2020·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Kaspar TootsiAare Märtson
Mar 16, 2017·Acta Orthopaedica·Martin Lindberg-LarsenUNKNOWN Lunbeck Foundation Centre for Fast-track Hip and Knee Replacement
May 18, 2018·Archives of Orthopaedic and Trauma Surgery·Choon Chiet HongDiarmuid Paul Murphy
Oct 3, 2018·International Orthopaedics·Yannick HerryMichel-Henri Fessy
Jan 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Ahmed SiddiqiNicolas S Piuzzi
May 26, 2021·BMC Musculoskeletal Disorders·Andrew KayDaniel Le
Jun 24, 2021·Acta Cirúrgica Brasileira·Luís Guilherme de FariaLuis Gustavo Gosuen Gonçalves Dias

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