A simple new technique for the removal of fractured femoral stems: a case report

Journal of Medical Case Reports

Domagoj Delimar²  Kresimir Crnogaca¹  Goran Bicanic² 

[1] Department of Orthopaedic Surgery, Clinical Hospital Centre Zagreb, Salata 7, 10000, Zagreb, Croatia;Department of Orthopaedic Surgery, University of Zagreb School of Medicine, Clinical Hospital Centre Zagreb, Salata 6-7, 10000, Zagreb, Croatia

关键词: Extraction;    Revision surgery;    Stem fracture;    Stem breakage;    Cementless femoral stem;   

Others  :  821031
DOI  :  10.1186/1752-1947-8-151

 received in 2013-11-04, accepted in 2014-02-24,  发布年份 2014

【 摘 要 】

Introduction

The removal of broken femoral stems has become a major issue in revision surgery, and is a technically difficult and time-consuming procedure.

Case presentation

We present a case of a fracture of a cementless long femoral stem in a 65-year-old, white Caucasian man. The distal part was removed with a special longitudinal osteotomy through the anterior cortex extending distally for 10cm. It was then followed by a transversal osteotomy 2cm below the tip of the femoral stump to allow enough space for two locking pliers. Simultaneously using a lamina spreader on the distal part, the broken stem was extracted while hammering on two locking pliers.

Conclusions

We developed a simple and easy technique for the removal of a broken femoral stem that can be applied to all kinds of femoral stems and intramedullary nails regardless of their cross section. We used ordinary surgical instruments and spared the remaining bone stock.

【 授权许可】

   
2014 Bicanic et al.; licensee BioMed Central Ltd.

【 图 表 】

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