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Original Article

Fractured Stem in Total Hip Replacement: A Clinical Review of 120 Cases

Pages 279-284 | Accepted 06 Aug 1981, Published online: 08 Jul 2009

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (6)

Li-On Lam, Karl Stoffel, Alan Kop & Eric Swarts. (2008) Catastrophic failure of 4 cobalt-alloy Omnifit hip arthroplasty femoral components. Acta Orthopaedica 79:1, pages 18-21.
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Magne Røkkum, Kjell Bye, Karl R Hetland & Astor Reigstad. (1995) Stem fracture with the Exeter prosthesis 3 of 27 hips followed for 10 years. Acta Orthopaedica Scandinavica 66:5, pages 435-439.
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Kjeld Søballe, Finn Christensen & Torben Luxhøj. (1987) Hip replacement in obese patients. Acta Orthopaedica Scandinavica 58:3, pages 223-225.
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Per Aspenberg, Lars Kolmert, Lars Persson & Rolf önnerfält. (1987) Fracture of hip prostheses due to inadequate welding. Acta Orthopaedica Scandinavica 58:5, pages 479-482.
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Christian Léger & David B. Wolfson. (1987) Hypothesis testing for a non-homogeneous poisson process. Communications in Statistics. Stochastic Models 3:3, pages 439-455.
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Bjouml;rn Tjörnstrand & Lars Lidgren. (1985) Fracture of the knee endoprosthesis: Report of three cases of tibial component failure. Acta Orthopaedica Scandinavica 56:2, pages 124-126.
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Articles from other publishers (74)

Matthew Bowers, Gabriel Ganot, Louis Malito, Babak Kondori, Anyanwu Ezechukwu, Felicia Svedlund & Brad James. (2022) Failure Analysis of Medical Devices. Journal of Failure Analysis and Prevention 22:1, pages 154-180.
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Rajesh Malhotra, Deepak Gautam & Saurabh Gupta. (2021) A New Type of Periprosthetic Fracture: Is It the Time to Update the Unified Classification System?. Indian Journal of Orthopaedics 55:5, pages 1277-1285.
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Matthew BowersGabriel GanotLouis MalitoBabak KondoriAnyanwu EzechukwuFelicia SvedlundBrad James. 2021. Analysis and Prevention of Component and Equipment Failures. Analysis and Prevention of Component and Equipment Failures 736 753 .
Joshua W. Thompson, James Corbett, Daniel Bye, Adrian Jones, Elizabeth K. Tissingh & John Nolan. (2021) Analysis of the Exeter V40 femoral stem prosthesis fracture. Bone & Joint Open 2:6, pages 443-456.
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P. G. van Doesburg, E. J. van Langelaan, I. Apachitei, M. R. Bénard & S. H. M. Verdegaal. (2020) Femoral prosthesis neck fracture following total hip arthroplasty — a systematic review. Arthroplasty 2:1.
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Hosam E. Matar, Daniel Pincus, J. Michael Paterson, Suriya Aktar, Richard Jenkinson & Bheeshma Ravi. (2020) Early Surgical Complications of Total Hip Arthroplasty in Patients With Morbid Obesity: Propensity-Matched Cohort Study of 3683 Patients. The Journal of Arthroplasty 35:9, pages 2646-2651.
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D. R. KruegerK-P. GuentherM. C. DemlC. Perka. (2020) Mechanical failure of 113 uncemented modular revision femoral components. The Bone & Joint Journal 102-B:5, pages 573-579.
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Hosam E. Matar, Veenesh Selvaratnam, Tim N. Board, Bodo Purbach, Martyn L. Porter, Peter R. Kay & Nikhil Shah. (2020) Fractured Femoral Stems in Primary and Revision Hip Arthroplasties Revisited: Wrightington Experience. The Journal of Arthroplasty 35:5, pages 1344-1350.
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Mark S Rickman, Peter L Lewis, Daud TS Chou, William Donnelly, Stephen E Graves & Michelle Lorimer. (2019) Risk factors for femoral stem breakage: an analysis of the AOANJRR results. HIP International, pages 112070001983920.
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Salim Al Habsi, Jatinder Singh Luthra & Hamid Al Badei. (2018) Taper Fracture of Uncemented Femoral Stem after Total Hip Arthroplasty. Case Reports in Orthopedic Research 1:1-3, pages 50-54.
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Talip Çelik, İbrahim Mutlu, Arif Özkan & Yasin Kişioğlu. (2017) The effect of cement on hip stem fixation: a biomechanical study. Australasian Physical & Engineering Sciences in Medicine 40:2, pages 349-357.
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Ben J.R.F. Bolland, Matthew J. Wilson, Jonathan R. Howell, Matthew J.W. Hubble, A. John Timperley & Graham A. Gie. (2017) An Analysis of Reported Cases of Fracture of the Universal Exeter Femoral Stem Prosthesis. The Journal of Arthroplasty 32:4, pages 1318-1322.
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JD Craik, MD Bircher & M Rickman. (2016) Hip and knee arthroplasty implants contraindicated in obesity. The Annals of The Royal College of Surgeons of England 98:5, pages 295-299.
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A. Merini, A. Viste, R. Desmarchelier & M.-H. Fessy. (2016) Pivots f?moraux Corail? sans ciment avec marquage laser sur le col?: survie ? long terme de 295?implants, taux de ruptures et facteurs de risque. Revue de Chirurgie Orthop?dique et Traumatologique 102:1, pages 44-49.
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A. Merini, A. Viste, R. Desmarchelier & M.-H. Fessy. (2016) Cementless Corailtm femoral stems with laser neck etching: Long-term survival, rupture rate and risk factors in 295 stems. Orthopaedics & Traumatology: Surgery & Research 102:1, pages 71-76.
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B.M. Wroblewski, Paul D. Siney & Patricia A. FlemingB. M. Wroblewski, Paul D. Siney & Patricia A. Fleming. 2016. Charnley Low-Frictional Torque Arthroplasty of the Hip. Charnley Low-Frictional Torque Arthroplasty of the Hip 187 201 .
Souptick Chanda, Alexander Dickinson, Sanjay Gupta & Martin Browne. (2015) Full-field in vitro measurements and in silico predictions of strain shielding in the implanted femur after total hip arthroplasty . Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 229:8, pages 549-559.
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Young Soo ChunHyung Suk JuhYoon Je ChoKee Hyung Rhyu. (2015) Fracture of Fully-coated Femoral Stem after Primary Total Hip Arthroplasty for Nonunion of Intertrochanteric Fracture: A Case Report. Hip & Pelvis 27:3, pages 179.
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Jan P. Benthien & Wolf Siepen. (2012) Early failure of a non-cemented femoral stem after minimal-invasive total hip arthroplasty: cause analysis and classification. MUSCULOSKELETAL SURGERY 98:1, pages 77-80.
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Y.T. Konttinen, I. Milošev, R. Trebše, R. van der Linden, J. Pieper, T. Sillat, S. Virtanen & V-M. Tiainen. 2014. Joint Replacement Technology. Joint Replacement Technology 81 151 .
Patrick Sadoghi, Wolfram Pawelka, Michael C. Liebensteiner, Alexandra Williams, Andreas Leithner & Gerold Labek. (2013) The incidence of implant fractures after total hip arthroplasty. International Orthopaedics 38:1, pages 39-46.
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John V. TiberiAndrew Spitzer & Guy Paiement. (2013) Fracture of a Cemented, Highly Polished, Collarless, Triple-Tapered, High-Nitrogen Stainless Steel Femoral Stem. JBJS Case Connector 3:4, pages e103.
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Bodo Purbach, Peter R. Kay, Paul D. Siney, Patricia A. Fleming & B. Michael Wroblewski. (2013) The C-Stem in Clinical Practice. The Journal of Arthroplasty 28:8, pages 1367-1371.
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R E DA ASSUNÇÃO, L J KING, D G DUNLOP & S OSTLERE. (2013) The assessment of total hip arthroplasty. Imaging 22:1, pages 20110085.
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T.L. Norman, T. Shultz, G. Noble, T.A. Gruen & J.D. Blaha. (2013) Bone creep and short and long term subsidence after cemented stem total hip arthroplasty (THA). Journal of Biomechanics 46:5, pages 949-955.
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E. J. GriffithsD. StevensonM. J. Porteous. (2012) Cost savings of using a cemented total hip replacement. The Journal of Bone and Joint Surgery. British volume 94-B:8, pages 1032-1035.
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Ruy E. da Assunção, Benjamin J.R.F. Bolland, Stuart Edwards, Leonard J. King & Douglas G. Dunlop. (2011) Radiographic assessment of primary hip arthroplasty. Orthopaedics and Trauma 25:5, pages 353-362.
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Turgay Efe & Jan Schmitt. (2011) Analyses of Prosthesis Stem Failures in Noncemented Modular Hip Revision Prostheses. The Journal of Arthroplasty 26:4, pages 665.e7-665.e12.
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Aasis Unnanuntana, Dan X. Chen, Amnuay Unnanuntana & Timothy M. Wright. (2011) Trunnion Fracture of the Anatomic Medullary Locking A Plus Femoral Component. The Journal of Arthroplasty 26:3, pages 504.e13-504.e16.
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María José Sangüesa-Nebot, Francisco Cabanes Soriano, Rafael Fernández Gabarda & Carlos Valverde Mordt. (2010) Revision Hip Arthroplasty With a Short Femoral Component in Fractured Hydroxyapatite Fully Coated Femoral Stem. The Journal of Arthroplasty 25:7, pages 1168.e13-1168.e16.
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Donok Choi, Youngbae Park, Yong-San Yoon & Bassam A. Masri. (2010) In vitro measurement of interface micromotion and crack in cemented total hip arthroplasty systems with different surface roughness. Clinical Biomechanics 25:1, pages 50-55.
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Joshua Landa, Michael Benke, Alan Dayan, Gavin Pereira & Paul E. Di Cesare. (2009) Fracture of Fully Coated Echelon Femoral Stems in Revision Total Hip Arthroplasty. The Journal of Arthroplasty 24:2, pages 322.e13-322.e18.
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Eric Swarts, Alan Kop, Noel Jones, Cathie Keogh, Susan Miller & Piers Yates. (2007) Microstructural features in fractured high nitrogen stainless steel hip prostheses: A retrieval study of polished, tapered femoral stems. Journal of Biomedical Materials Research Part A 84A:3, pages 753-760.
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Piers J. Yates, Nasir A. Quraishi, Allan Kop, Donald W. Howie, Clare Marx & Eric Swarts. (2008) Fractures of Modern High Nitrogen Stainless Steel Cemented Stems. The Journal of Arthroplasty 23:2, pages 188-196.
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YT KONTTINEN, I MILOŠEV, R TREBŠE, P RANTANEN, R LINDEN, V-.M TIAINEN & S VIRTANEN. 2008. Joint Replacement Technology. Joint Replacement Technology 115 162 .
Mark M. Mullins, William Norbury, John K. Dowell & Mike Heywood-Waddington. (2007) Thirty-Year Results of a Prospective Study of Charnley Total Hip Arthroplasty by the Posterior Approach. The Journal of Arthroplasty 22:6, pages 833-839.
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B M Wroblewski, P D Siney & P A Fleming. (2007) Increasing patients' body mass. Are the criteria for testing stemmed femoral components in total hip arthroplasty still valid?. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 221:8, pages 959-961.
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Ioannis Maris, Spyros Darmanis, Victor Kytopoulos, Angela Economakis & Konstantinos Kazakos. (2007) Mechanical failure of a Thompson’s hemiarthoplasty stem 28 years post-implantation: an investigation with electron microscopy. Journal of Materials Science: Materials in Medicine 18:6, pages 1135-1139.
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C. Wedemeyer, K. Ruße, M. von Knoch & G. Saxler. (2007) Endostale Reaktion im Schaftbereich einer zementfreien ProtheseEndosteal reaction in the region surrounding the stem of a cement-free prosthesis. Der Unfallchirurg 110:1, pages 75-77.
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Alejandro González Della Valle, Burak Becksaç, John Anderson, Timothy Wright, Bryan Nestor, Paul M. Pellicci & Eduardo A. Salvati. (2005) Late Fatigue Fracture of a Modern Cemented Forged Cobalt Chrome Stem for Total Hip Arthroplasty. The Journal of Arthroplasty 20:8, pages 1084-1088.
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Roy D Crowninshield, William J Maloney, Douglas H Wentz & Danny L Levine. (2004) The Role of Proximal Femoral Support in Stress Development Within Hip Prostheses. Clinical Orthopaedics and Related Research 420, pages 176-180.
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W Macdonald, L V Carlsson, N Gathercole & C M Jacobsson. (2016) Fatigue testing of a proximal femoral hip component. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 217:2, pages 137-145.
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Yuki Kishida, Nobuhiko Sugano, Kenji Ohzono, Takashi Sakai, Takashi Nishii & Hideki Yoshikawa. (2002) Stem fracture of the cementless spongy metal lübeck hip prosthesis. The Journal of Arthroplasty 17:8, pages 1021-1027.
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Tsung-Ting TsaiRobert Wen-Wei HsuHsin-Nung ShihTsung-Jen Huang. (2011) FAILURE OF THE POLYETHYLENE LINEAR OF A BIPOLAR HIP PROSTHESIS RESULTING IN DEEP DEFECT AND IMPENDING FRACTURE OF THE NECK OF THE FEMORAL STEM COMPONENT. Journal of Musculoskeletal Research 06:02, pages 131-134.
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B.M. Wroblewski, Paul D. Siney & Patricia A. Fleming. (2001) Triple taper polished cemented stem in total hip arthroplasty: Rationale for the design, surgical technique, and 7 years of clinical experience. The Journal of Arthroplasty 16:8, pages 37-41.
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T.L Norman, G Thyagarajan, V.C Saligrama, T.A Gruen & J.D Blaha. (2001) Stem surface roughness alters creep induced subsidence and ?taper-lock? in a cemented femoral hip prosthesis. Journal of Biomechanics 34:10, pages 1325-1333.
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James P. Jamison & St. George Tucker Aufranc. 1999. Revision Total Hip Arthroplasty. Revision Total Hip Arthroplasty 431 437 .
Yong-Shun Chang, Hai-Ou Gu, Masanori Kobayashi & Masanori Oka. (1998) Influence of various structure treatments on histological fixation of titanium implants. The Journal of Arthroplasty 13:7, pages 816-825.
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J.M de Leeuw & R.N Villar. (1998) Obesity and quality of life after primary total knee replacement. The Knee 5:2, pages 119-123.
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A. Devitt, T. O'Sullivan & W. Quinlan. (1997) 16- to 25-year follow-up study of cemented arthroplasty of the hip in patients aged 50 years or younger. The Journal of Arthroplasty 12:5, pages 479-489.
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Daniel O. O'Connor, Dennis W. Burke, Murali Jasty, Ronald C. Sedlacek & William H. Harris. (2005) In vitro measurement of strain in the bone cement surrounding the femoral component of total hip replacements during simulated gait and stair‐climbing . Journal of Orthopaedic Research 14:5, pages 769-777.
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