Massive Femoral Osteolysis Secondary to Loosening of a Cemented Roughened Long Stem: A Case Report
The surface finish of a femoral stem plays an important role in the longevity of cemented total hip arthroplasty. In efforts to decrease the rate of aseptic loosening, some prostheses have been designed to have a roughened surface that enhances bonding between the prosthesis and cement, but clinical...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/840267 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554428763209728 |
|---|---|
| author | Yasuaki Tamaki Tomohiro Goto Daisuke Hamada Toshihiko Nishisho Kiminori Yukata Suzue Naoto Hiroshi Egawa Koichi Sairyo |
| author_facet | Yasuaki Tamaki Tomohiro Goto Daisuke Hamada Toshihiko Nishisho Kiminori Yukata Suzue Naoto Hiroshi Egawa Koichi Sairyo |
| author_sort | Yasuaki Tamaki |
| collection | DOAJ |
| description | The surface finish of a femoral stem plays an important role in the longevity of cemented total hip arthroplasty. In efforts to decrease the rate of aseptic loosening, some prostheses have been designed to have a roughened surface that enhances bonding between the prosthesis and cement, but clinical outcomes remain controversial. We present a rare case of massive osteolysis with extreme femoral expansion that developed after cemented revision total hip arthroplasty. The destructive changes in the femur were attributable to abnormal motion of the stem and were aggravated by the roughened precoated surface of the long femoral component. Revision surgery using a total femur prosthesis was performed because there was insufficient remaining bone to fix the new prosthesis. The surgical technique involved wrapping polypropylene meshes around the prosthesis to create an insertion for the soft tissue, which proved useful for preventing muscular weakness and subsequent dislocation of the hip. |
| format | Article |
| id | doaj-art-7c1f16b519d04d9a9bfe2332b57aa2cd |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-7c1f16b519d04d9a9bfe2332b57aa2cd2025-02-03T05:51:37ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/840267840267Massive Femoral Osteolysis Secondary to Loosening of a Cemented Roughened Long Stem: A Case ReportYasuaki Tamaki0Tomohiro Goto1Daisuke Hamada2Toshihiko Nishisho3Kiminori Yukata4Suzue Naoto5Hiroshi Egawa6Koichi Sairyo7Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanThe surface finish of a femoral stem plays an important role in the longevity of cemented total hip arthroplasty. In efforts to decrease the rate of aseptic loosening, some prostheses have been designed to have a roughened surface that enhances bonding between the prosthesis and cement, but clinical outcomes remain controversial. We present a rare case of massive osteolysis with extreme femoral expansion that developed after cemented revision total hip arthroplasty. The destructive changes in the femur were attributable to abnormal motion of the stem and were aggravated by the roughened precoated surface of the long femoral component. Revision surgery using a total femur prosthesis was performed because there was insufficient remaining bone to fix the new prosthesis. The surgical technique involved wrapping polypropylene meshes around the prosthesis to create an insertion for the soft tissue, which proved useful for preventing muscular weakness and subsequent dislocation of the hip.http://dx.doi.org/10.1155/2014/840267 |
| spellingShingle | Yasuaki Tamaki Tomohiro Goto Daisuke Hamada Toshihiko Nishisho Kiminori Yukata Suzue Naoto Hiroshi Egawa Koichi Sairyo Massive Femoral Osteolysis Secondary to Loosening of a Cemented Roughened Long Stem: A Case Report Case Reports in Orthopedics |
| title | Massive Femoral Osteolysis Secondary to Loosening of a Cemented Roughened Long Stem: A Case Report |
| title_full | Massive Femoral Osteolysis Secondary to Loosening of a Cemented Roughened Long Stem: A Case Report |
| title_fullStr | Massive Femoral Osteolysis Secondary to Loosening of a Cemented Roughened Long Stem: A Case Report |
| title_full_unstemmed | Massive Femoral Osteolysis Secondary to Loosening of a Cemented Roughened Long Stem: A Case Report |
| title_short | Massive Femoral Osteolysis Secondary to Loosening of a Cemented Roughened Long Stem: A Case Report |
| title_sort | massive femoral osteolysis secondary to loosening of a cemented roughened long stem a case report |
| url | http://dx.doi.org/10.1155/2014/840267 |
| work_keys_str_mv | AT yasuakitamaki massivefemoralosteolysissecondarytolooseningofacementedroughenedlongstemacasereport AT tomohirogoto massivefemoralosteolysissecondarytolooseningofacementedroughenedlongstemacasereport AT daisukehamada massivefemoralosteolysissecondarytolooseningofacementedroughenedlongstemacasereport AT toshihikonishisho massivefemoralosteolysissecondarytolooseningofacementedroughenedlongstemacasereport AT kiminoriyukata massivefemoralosteolysissecondarytolooseningofacementedroughenedlongstemacasereport AT suzuenaoto massivefemoralosteolysissecondarytolooseningofacementedroughenedlongstemacasereport AT hiroshiegawa massivefemoralosteolysissecondarytolooseningofacementedroughenedlongstemacasereport AT koichisairyo massivefemoralosteolysissecondarytolooseningofacementedroughenedlongstemacasereport |