Acta Ortopédica Mexicana

Negrete-Corona J, Jiménez-Aquino JM, Pola-Rodríguez LC
Review of femoral component with proximal metaphyseal reconstruction using allograft cortical struts in a multioperated patient. Case report
Acta Ortop Mex 2018; 32 (1)

Language: Español
References: 14
Page: 48-52
PDF: 227.49 Kb.

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ABSTRACT

Introduction: Periprosthetic hip fractures are those that occur at the femoral and acetabular level. These fractures are associated with a wide variety of problems such as comminution, loose of bone stock and loosening of the femoral stem. Treatment of these fractures has historically been associated with high rates of treatment failures, complications and unsatisfactory outcomes. Objective: To present the clinical-radiographic case of the treatment of a periprosthetic hip fracture, with a femoral revision and metaphyseal reconstruction with cortical strut allograft and cerclage cables, in a multioperated patient. Material and methods: We present the case of a patient with a dislocation of a revision total hip prosthesis with a periprosthetic fracture type B3 of the Vancouver classification, who underwent a revision of the femoral component and a proximal metaphyseal reconstruction of the femur with cortical strut allograft and cerclage cables. Results: The patient had an adequate evolution at the postoperative year, walking with a cane, radiographic control with adequate congruence of the prosthetic components and data of consolidation of the fracture. Discussion: In the treatment of periprosthetic fractures, reconstruction can be done with use of cortical strut allograft and cerclage cables, with good functional and radiological results.


Key words: Revision, femoral, fracture, hip, allograft.