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Updated: Jul 23, 2026
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Nonoperative Treatment of a Fractured Uncemented Extensively Coated Femoral Stem: A Case Report with 2-Year Follow-up
Andrew M Schneider1, Nicholas M Brown, William J Hopkinson
1Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, Illinois.
Case:
A 62-year-old man who underwent total hip arthroplasty (THA) 17 years earlier presented with a fractured uncemented extensively coated diaphyseal engaging femoral stem. Treatment options, including revision surgery, were discussed, and the patient elected for nonoperative treatment. At 2 years of follow-up, the patient is asymptomatic, radiographs are stable, and he lives an active lifestyle without restrictions.
Conclusion:
Fractures of well-fixed femoral prostheses are rare complications of THA and almost universally require revision surgery. Nonoperative treatment without activity restrictions may be a viable treatment option in select patients to preserve function and maintain quality of life.
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