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Updated: May 11, 2026

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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
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Modular Well-Fixed Hip Revision Stem Fracture: A Case Report and Literature Review
Fabio Pessina1, Carlo Cazzaniga2, Beatrice Manzini2
1Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
The Archives of Bone and Joint Surgery
|October 31, 2024
Summary
This case study details repeated fractures of a modular hip prosthesis in one patient over 17 years. It explores causes and revision strategies for fractured hip implants.
Area of Science:
- Orthopedic surgery
- Biomedical engineering
Background:
- Total hip replacement is a common procedure.
- Modular hip prostheses offer surgical flexibility but may have unique failure modes.
Observation:
- A 56-year-old male patient experienced two fractures of his modular hip prosthesis over 17 years post-implantation.
- The fractures occurred in the prosthetic implant itself.
Findings:
- Repeated prosthetic fractures in modular hip implants are a rare but significant complication.
- Potential causes include material fatigue, surgical technique, and patient-specific factors.
Implications:
- Understanding the causes of modular hip prosthesis fractures is crucial for preventing future occurrences.
- Appropriate selection of revision techniques is vital for successful management of fractured hip implants.
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