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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 2, 257-260
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery


Articles

Hoop-stress fractures of the proximal femur during hip arthroplasty. Management and results in 19 cases

MA Mont, DC Maar, KA Krackow, and DS Hungerford

Johns Hopkins University School of Medicine, Department of Orthopaedic Surgery, Baltimore, Maryland 21239.

Retrospective review of 730 consecutive primary uncemented and cemented total hip arthroplasties revealed 19 intra-operative hoop-stress fractures of the femoral neck. These were incomplete, linear, and minimally displaced. Management was by cerclage wiring (12), bone graft and cerclage (two), further impaction (two), and the use of cement (three), with no change from our standard postoperative management and rehabilitation. Eighteen patients had excellent or good results with an average Harris hip score of 93. Radiographically, all but one patient had Engh stability-fixation scores consistent with stable bone ingrowth. We conclude that hoop-stress fractures of the proximal femur, properly managed, do not detract from the results of total hip arthroplasty.


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[Abstract] [Full Text] [PDF]



(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General