Total Hip Arthroplasty for Bilateral Femoral Neck Stress Fracture: A Case Report and Review of the Literature

Femoral neck stress fractures (FNSFs) can be treated conservatively or surgically, depending on initial displacement and patient condition. Surgical treatment options include internal fixation, with or without valgus osteotomy or hip arthroplasty, either hemi or total. The latter is mainly considere...

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Main Authors: Kevin Moerenhout, Georgios Gkagkalis, G.-Yves Laflamme, Dominique M. Rouleau, Stéphane Leduc, Benoit Benoit
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/2720736
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author Kevin Moerenhout
Georgios Gkagkalis
G.-Yves Laflamme
Dominique M. Rouleau
Stéphane Leduc
Benoit Benoit
author_facet Kevin Moerenhout
Georgios Gkagkalis
G.-Yves Laflamme
Dominique M. Rouleau
Stéphane Leduc
Benoit Benoit
author_sort Kevin Moerenhout
collection DOAJ
description Femoral neck stress fractures (FNSFs) can be treated conservatively or surgically, depending on initial displacement and patient condition. Surgical treatment options include internal fixation, with or without valgus osteotomy or hip arthroplasty, either hemi or total. The latter is mainly considered when initial treatment fails. A review of the literature shows that total hip arthroplasty (THA) is only considered as primary treatment in displaced fractures (type 3) in low-demand patients. We present a case of successive bilateral FNSF in a young active patient, where a THA was performed on one side, after failed internal fixation, and where it was chosen as primary treatment on the other side after failed conservative treatment.
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series Advances in Orthopedics
spelling doaj-art-25b82a2ce3c84718869ba59a150382bf2025-02-03T05:45:56ZengWileyAdvances in Orthopedics2090-34642090-34722019-01-01201910.1155/2019/27207362720736Total Hip Arthroplasty for Bilateral Femoral Neck Stress Fracture: A Case Report and Review of the LiteratureKevin Moerenhout0Georgios Gkagkalis1G.-Yves Laflamme2Dominique M. Rouleau3Stéphane Leduc4Benoit Benoit5Orthopedic Surgery, Department of Surgery, Hôpital Sacré-Cœur de Montréal, 5400 Boul. Gouin O., Montréal, Québec H4J 1C5, CanadaOrthopedic Surgery, Department of Surgery, Hôpital Sacré-Cœur de Montréal, 5400 Boul. Gouin O., Montréal, Québec H4J 1C5, CanadaOrthopedic Surgery, Department of Surgery, Hôpital Sacré-Cœur de Montréal, 5400 Boul. Gouin O., Montréal, Québec H4J 1C5, CanadaOrthopedic Surgery, Department of Surgery, Hôpital Sacré-Cœur de Montréal, 5400 Boul. Gouin O., Montréal, Québec H4J 1C5, CanadaOrthopedic Surgery, Department of Surgery, Hôpital Sacré-Cœur de Montréal, 5400 Boul. Gouin O., Montréal, Québec H4J 1C5, CanadaOrthopedic Surgery, Department of Surgery, Hôpital Sacré-Cœur de Montréal, 5400 Boul. Gouin O., Montréal, Québec H4J 1C5, CanadaFemoral neck stress fractures (FNSFs) can be treated conservatively or surgically, depending on initial displacement and patient condition. Surgical treatment options include internal fixation, with or without valgus osteotomy or hip arthroplasty, either hemi or total. The latter is mainly considered when initial treatment fails. A review of the literature shows that total hip arthroplasty (THA) is only considered as primary treatment in displaced fractures (type 3) in low-demand patients. We present a case of successive bilateral FNSF in a young active patient, where a THA was performed on one side, after failed internal fixation, and where it was chosen as primary treatment on the other side after failed conservative treatment.http://dx.doi.org/10.1155/2019/2720736
spellingShingle Kevin Moerenhout
Georgios Gkagkalis
G.-Yves Laflamme
Dominique M. Rouleau
Stéphane Leduc
Benoit Benoit
Total Hip Arthroplasty for Bilateral Femoral Neck Stress Fracture: A Case Report and Review of the Literature
Advances in Orthopedics
title Total Hip Arthroplasty for Bilateral Femoral Neck Stress Fracture: A Case Report and Review of the Literature
title_full Total Hip Arthroplasty for Bilateral Femoral Neck Stress Fracture: A Case Report and Review of the Literature
title_fullStr Total Hip Arthroplasty for Bilateral Femoral Neck Stress Fracture: A Case Report and Review of the Literature
title_full_unstemmed Total Hip Arthroplasty for Bilateral Femoral Neck Stress Fracture: A Case Report and Review of the Literature
title_short Total Hip Arthroplasty for Bilateral Femoral Neck Stress Fracture: A Case Report and Review of the Literature
title_sort total hip arthroplasty for bilateral femoral neck stress fracture a case report and review of the literature
url http://dx.doi.org/10.1155/2019/2720736
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