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Traumatic Floating Total Hip Arthroplasty: A Case Report.

James D Brodell1, Jared M Newman1, Sandeep P Soin2

  • 1Department of Orthopaedics and Physical Performance, University of Rochester Medical Center, Rochester, New York.

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Summary
This summary is machine-generated.

A rare hip fracture occurred in a patient with a prior total hip arthroplasty. This case of Vancouver C periprosthetic femur and pelvic fracture offers insights for managing similar complex hip injuries.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Arthroplasty

Background:

  • Total hip arthroplasty (THA) is a common procedure.
  • Periprosthetic fractures are a known complication of THA.
  • The direct anterior (DA) approach is a surgical technique for THA.

Purpose of the Study:

  • To report a unique case of combined periprosthetic femur and pelvic fracture after THA.
  • To describe the injury pattern in relation to the hip implant.
  • To provide potential guidance for future treatment strategies.

Main Methods:

  • Case report of a 58-year-old woman with a history of left THA via the DA approach.
  • Diagnosis of transverse Vancouver C periprosthetic femur fracture and unstable periprosthetic pelvic fracture.
  • Clinical and radiographic assessment of the injury.

Main Results:

  • The patient sustained a complex fracture pattern distal to the femoral implant and proximal to the acetabular implant.
  • The implant-to-bone interface remained unaffected.
  • This represents a previously unreported injury associated with total hip arthroplasty.

Conclusions:

  • This case highlights a rare and complex injury scenario following THA.
  • The unaffected implant-to-bone interface in this specific fracture pattern is noteworthy.
  • Understanding this injury may inform surgical decision-making and management for similar cases.