Surgical management of intra- and postoperative fractures of the femur about the tip of the stem in total hip arthroplasty
Six techniques for the surgical management of fractures of the femur about the tip of the stem of a total hip arthroplasty were evaluated. Seven embalmed human femurs were prepared to receive the correct-size femoral component of a total hip system. A transverse osteotomy was performed at the level...
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| Veröffentlicht in: | The Journal of arthroplasty 1996-09, Vol.11 (6), p.709-717, Article 709 |
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| container_title | The Journal of arthroplasty |
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| creator | Schmotzer, Hans Tchejeyan, Gregory H. Dall, Desmond M. |
| description | Six techniques for the surgical management of fractures of the femur about the tip of the stem of a total hip arthroplasty were evaluated. Seven embalmed human femurs were prepared to receive the correct-size femoral component of a total hip system. A transverse osteotomy was performed at the level of the tip of the stem. Stability and strength of each reconstruction were tested on each femur under semidynamic loading conditions. This study showed that cementless revision to a long-stem prosthesis does not provide adequate stability. The highest strength and stability were achieved by supplementing the long-stem conversion with allograft struts and cable cerclage. Good results were obtained by lateral compression plating with unicortical screws proximally. Failure was due to pull-out of the proximal screws. |
| doi_str_mv | 10.1016/S0883-5403(96)80010-6 |
| format | Article |
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Seven embalmed human femurs were prepared to receive the correct-size femoral component of a total hip system. A transverse osteotomy was performed at the level of the tip of the stem. Stability and strength of each reconstruction were tested on each femur under semidynamic loading conditions. This study showed that cementless revision to a long-stem prosthesis does not provide adequate stability. The highest strength and stability were achieved by supplementing the long-stem conversion with allograft struts and cable cerclage. Good results were obtained by lateral compression plating with unicortical screws proximally. Failure was due to pull-out of the proximal screws.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/S0883-5403(96)80010-6</identifier><identifier>PMID: 8884447</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Biomechanical Phenomena ; Femoral Fractures - surgery ; femur fractures ; hip arthroplasty ; Hip Prosthesis ; Humans ; In Vitro Techniques ; Intraoperative Complications - surgery ; Methods ; Middle Aged ; Postoperative Complications - surgery ; surgical management</subject><ispartof>The Journal of arthroplasty, 1996-09, Vol.11 (6), p.709-717, Article 709</ispartof><rights>1996 Churchill Livingstone Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-10b5d5de0d0ffceb5258d52f7759485d015da705fc1622bf9c8dcdd6740de493</citedby><cites>FETCH-LOGICAL-c507t-10b5d5de0d0ffceb5258d52f7759485d015da705fc1622bf9c8dcdd6740de493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540396800106$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8884447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schmotzer, Hans</creatorcontrib><creatorcontrib>Tchejeyan, Gregory H.</creatorcontrib><creatorcontrib>Dall, Desmond M.</creatorcontrib><title>Surgical management of intra- and postoperative fractures of the femur about the tip of the stem in total hip arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Six techniques for the surgical management of fractures of the femur about the tip of the stem of a total hip arthroplasty were evaluated. Seven embalmed human femurs were prepared to receive the correct-size femoral component of a total hip system. A transverse osteotomy was performed at the level of the tip of the stem. Stability and strength of each reconstruction were tested on each femur under semidynamic loading conditions. This study showed that cementless revision to a long-stem prosthesis does not provide adequate stability. The highest strength and stability were achieved by supplementing the long-stem conversion with allograft struts and cable cerclage. Good results were obtained by lateral compression plating with unicortical screws proximally. Failure was due to pull-out of the proximal screws.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biomechanical Phenomena</subject><subject>Femoral Fractures - surgery</subject><subject>femur fractures</subject><subject>hip arthroplasty</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Intraoperative Complications - surgery</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Postoperative Complications - surgery</subject><subject>surgical management</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1rFTEUhoNY6rX6EwqzEl2MTeYmmQwupBRtC4Uu2n3IJCe9kZnJmJwp1F9v7od3IYirQ877ccJDyDmjnxll8uKBKrWuBafrj538pChltJavyIqJdVMrTuVrsjpa3pC3Of8oHiYEPyWnSinOebsivx6W9BSsGarRTOYJRpiwir4KEyZTV2Zy1RwzxhmSwfAMlU_G4pIgb124KQsYl1SZPi64e2OY_0gZYSxNFUYsBzZFMAk3Kc6Dyfjyjpx4M2R4f5hn5PH7t8erm_ru_vr26vKutoK2WDPaCyccUEe9t9CLRignGt-2ouNKOMqEMy0V3jLZNL3vrHLWOdly6oB36zPyYV87p_hzgYx6DNnCMJgJ4pJ1q7hsBGXFKPZGm2LOCbyeUxhNetGM6i1yvUOutzx1J_UOuZYld344sPQjuGPqwLjoX_7qtQELzLhFHIZje_5H-9d9Ggqi5wBJZxtgsuBCAovaxfCf__0GnOiltg</recordid><startdate>19960901</startdate><enddate>19960901</enddate><creator>Schmotzer, Hans</creator><creator>Tchejeyan, Gregory H.</creator><creator>Dall, Desmond M.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960901</creationdate><title>Surgical management of intra- and postoperative fractures of the femur about the tip of the stem in total hip arthroplasty</title><author>Schmotzer, Hans ; Tchejeyan, Gregory H. ; Dall, Desmond M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c507t-10b5d5de0d0ffceb5258d52f7759485d015da705fc1622bf9c8dcdd6740de493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biomechanical Phenomena</topic><topic>Femoral Fractures - surgery</topic><topic>femur fractures</topic><topic>hip arthroplasty</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Intraoperative Complications - surgery</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Postoperative Complications - surgery</topic><topic>surgical management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schmotzer, Hans</creatorcontrib><creatorcontrib>Tchejeyan, Gregory H.</creatorcontrib><creatorcontrib>Dall, Desmond M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schmotzer, Hans</au><au>Tchejeyan, Gregory H.</au><au>Dall, Desmond M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical management of intra- and postoperative fractures of the femur about the tip of the stem in total hip arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>1996-09-01</date><risdate>1996</risdate><volume>11</volume><issue>6</issue><spage>709</spage><epage>717</epage><pages>709-717</pages><artnum>709</artnum><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Six techniques for the surgical management of fractures of the femur about the tip of the stem of a total hip arthroplasty were evaluated. Seven embalmed human femurs were prepared to receive the correct-size femoral component of a total hip system. A transverse osteotomy was performed at the level of the tip of the stem. Stability and strength of each reconstruction were tested on each femur under semidynamic loading conditions. This study showed that cementless revision to a long-stem prosthesis does not provide adequate stability. The highest strength and stability were achieved by supplementing the long-stem conversion with allograft struts and cable cerclage. Good results were obtained by lateral compression plating with unicortical screws proximally. Failure was due to pull-out of the proximal screws.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>8884447</pmid><doi>10.1016/S0883-5403(96)80010-6</doi><tpages>9</tpages></addata></record> |
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| ispartof | The Journal of arthroplasty, 1996-09, Vol.11 (6), p.709-717, Article 709 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Aged, 80 and over Biomechanical Phenomena Femoral Fractures - surgery femur fractures hip arthroplasty Hip Prosthesis Humans In Vitro Techniques Intraoperative Complications - surgery Methods Middle Aged Postoperative Complications - surgery surgical management |
| title | Surgical management of intra- and postoperative fractures of the femur about the tip of the stem in total hip arthroplasty |
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