Modular hip implant fracture at the stem-sleeve interface

Orthopedics
Thomas ParisiYoung-Min Kwon

Abstract

The use of modular implants in femoral stem design has grown increasingly popular over the last decade because of the theoretical advantage of more flexibility and optimization of femoral anteversion, limb length, and femoral component offset. With the benefit of increased surgical flexibility, however, modularity also carries the theoretical risks of fretting at the modular surfaces, sequelae of wear debris, and possible failure and fracture of the stem at the modular junction. Indeed, there have been an increasing number of reports of modular implants failing due to fracture at modular junctions. The S-ROM prosthesis (DePuy Orthopaedics, Inc, Warsaw, Indiana), however, has a stellar clinical record and has been used with good results in both primary and revision total hip arthroplasty. Only a single case of S-ROM failure at the stem-sleeve interface has been reported in the orthopedic literature. The aim of this case report was to present a succinct history of proximal modularity in total hip arthroplasty and to describe the only known case of this type of catastrophic failure in an S-ROM prosthesis with a metal-on-metal bearing. Despite a low level of serum metal ions on presentation, scanning electron microscopy showed find...Continue Reading

References

Sep 1, 1975·Clinical Orthopaedics and Related Research·J Charnley
Oct 1, 1987·Acta Orthopaedica Scandinavica·P AspenbergR Onnerfält
Jan 1, 1994·The Journal of Bone and Joint Surgery. American Volume·J L GilbertM R Zernich
Feb 1, 1996·Journal of Biomedical Materials Research·M VicecontiA Giunti
May 1, 1997·Journal of Biomedical Materials Research·M VicecontiA Toni
Dec 9, 1992·Clinical Materials·S D CookN G Dong
Oct 20, 2009·The Journal of Arthroplasty·Chris J Dangles, Carl J Altstetter
Apr 13, 2010·The Journal of Arthroplasty·Jack G SkendzelAndrew G Urquhart
Jun 3, 2010·The Journal of Bone and Joint Surgery. American Volume·David A J WilsonZoheir Farhat
Jun 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Geoffrey WrightJoshua Jacobs
Jun 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Sara A AtwoodMichael D Ries
Jan 7, 2011·The Journal of Bone and Joint Surgery. American Volume·Dror LaksteinAllan E Gross
Jul 30, 2011·The Journal of Arthroplasty·Michael B Ellman, Brett R Levine
Jun 5, 2012·The Journal of Arthroplasty·Nicholas G SotereanosTodd T Tupis
Jul 5, 2013·Orthopedics·Nima MehranMichael Laker

❮ Previous
Next ❯

Citations

Oct 6, 2016·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Chelsea N KochAlejandro Gonzalez Della Valle
Oct 30, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Junya YoshitaniKiyonobu Funaki
Sep 12, 2018·Hip & Pelvis·Chan-Woo ParkYoun-Soo Park
Feb 13, 2016·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Ali HumadiElie Khoury
Jul 23, 2016·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·David Clinton McNabbDouglas A Dennis
Apr 27, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jesús MoretaJosé Luis Martínez-de Los Mozos
Apr 15, 2021·Zeitschrift für Orthopädie und Unfallchirurgie·Matthias SukoppFrank Seehaus

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.