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Management of Complex Situation of Periprosthetic Fracture with broken Implant.


Case Report |  Volume 4 | Issue 3 | JOCR July-Sep 2014 | Page 12-15 | Pal CP, Singh P, Kumar D, Singh A.  DOI: 10.13107/jocr.2250-0685.185


Authors: Pal CP[1], Singh P[2], Kumar D[1], Singh A[1]

[1] Department of orthopaedics, SNMC, Agra, India.

[2] Department of Orthopaedics, U.P RIMS & R, Saifai, Etawah, India.

Address of Correspondence:

Dr. Chandra Prakash Pal, Dept of orthopaedics, SNMC, Agra, India.  M: 91-09634031500. Email: drcportho@gmail.com


Abstract

Introduction: Fractures involving bones containing a component of a prosthetic joint are becoming more common. The causation is multifactorial but most of these injuries are associated with trivial trauma. The options available for operative management of these fractures include internal fixation of the fracture alone, fixation of the fracture with revision of the prosthesis, and reconstruction of proximal femur with either modified impaction bone grafting or proximal femoral replacement.

Case Report: We present here a case of periprosthetic fracture Vancouver type B1 with a broken cemented bipolar prosthesis insitu, in which the broken implant was firmly fixed in the proximal fragment and could not be removed following which the whole of the proximal fragment along with the broken implant was removed and replaced by a customized steel long stem cemented mega prosthesis.

Conclusion: This case is being presented on account of its unusual presentation and fracture pattern. A broken prosthesis along with a periprosthetic fracture is not a common incident. Thus the treatment had to be individualized. Since the prosthesis was well fixed, its broken stem could not be removed from the proximal fragment and so the whole of the proximal fragment along with stem was removed and replaced with a long stem custom made bipolar prosthesis.

Keywords: Periprosthetic fracture, mega prosthesis, Proximal femoral bone loss, early mobilization.


How to Cite This Article: Pal CP, Singh P, Kumar D, Singh A. Periprosthetic Femoral Fracture With Broken Implant Insitu: – A Treatment Prospect. Journal of Orthopaedic Case Reports 2014 July-Sep;4(3): 12-15. Available from: http://www.jocr.co.in/wp/2014/07/11/2250-0685-185-abstract/

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