Incidence of intraoperative femoral fracture. Straight-stemmed versus anatomic cementless total hip arthroplasty.

A. Toni, D. Ciaroni, A. Sudanese, F. Femino, M. D. Marraro, A. L. Bueno Lozano, A. Giunti

Research output: Contribution to journalArticle

Abstract

The authors report the incidence of intraoperative femoral fractures (16 cases) occurring during the course of 395 cementless total hip arthroplasties performed at the Rizzoli Orthopaedic Institute between November, 1980 and June, 1991. The straight stem (Lord prosthesis) caused an intraoperative fracture in 18% of the cases, whereas the anatomic stem (An.C.A.) caused a fracture in only 1.5% of the cases. An intraoperative fracture occurred in 13% of patients with osteoporosis and only in 1.4% of those with normal mineralization of the proximal femur. Seven cases required circlage wiring; one was treated with interfragmentary screws (in the diaphysis). The remaining patients were treated with casting or delayed weight-bearing. Fifteen fractures consolidated within an average of 10 weeks. One case treated with circlage wiring and screws resulted in a nonunion. After 7 months, internal fixation with a plate and screws was performed with consolidation 5 months later. All stems were radiographically stable at an average follow-up of 40 months.

Original languageEnglish
Pages (from-to)43-54
Number of pages12
JournalActa Orthopaedica Belgica
Volume60
Issue number1
Publication statusPublished - 1994

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Femoral Fractures
Arthroplasty
Hip
Diaphyses
Incidence
Weight-Bearing
Femur
Osteoporosis
Prostheses and Implants
Orthopedics

ASJC Scopus subject areas

  • Surgery

Cite this

Toni, A., Ciaroni, D., Sudanese, A., Femino, F., Marraro, M. D., Bueno Lozano, A. L., & Giunti, A. (1994). Incidence of intraoperative femoral fracture. Straight-stemmed versus anatomic cementless total hip arthroplasty. Acta Orthopaedica Belgica, 60(1), 43-54.

Incidence of intraoperative femoral fracture. Straight-stemmed versus anatomic cementless total hip arthroplasty. / Toni, A.; Ciaroni, D.; Sudanese, A.; Femino, F.; Marraro, M. D.; Bueno Lozano, A. L.; Giunti, A.

In: Acta Orthopaedica Belgica, Vol. 60, No. 1, 1994, p. 43-54.

Research output: Contribution to journalArticle

Toni, A, Ciaroni, D, Sudanese, A, Femino, F, Marraro, MD, Bueno Lozano, AL & Giunti, A 1994, 'Incidence of intraoperative femoral fracture. Straight-stemmed versus anatomic cementless total hip arthroplasty.', Acta Orthopaedica Belgica, vol. 60, no. 1, pp. 43-54.
Toni A, Ciaroni D, Sudanese A, Femino F, Marraro MD, Bueno Lozano AL et al. Incidence of intraoperative femoral fracture. Straight-stemmed versus anatomic cementless total hip arthroplasty. Acta Orthopaedica Belgica. 1994;60(1):43-54.
Toni, A. ; Ciaroni, D. ; Sudanese, A. ; Femino, F. ; Marraro, M. D. ; Bueno Lozano, A. L. ; Giunti, A. / Incidence of intraoperative femoral fracture. Straight-stemmed versus anatomic cementless total hip arthroplasty. In: Acta Orthopaedica Belgica. 1994 ; Vol. 60, No. 1. pp. 43-54.
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