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- Title
Severe osteolysis and periprosthetic femoral fracture 45 years after acrylic hemiarthroplasty of the hip: a case report.
- Authors
Ishikura, Hisatoshi; Nakamura, Masaki; Matsuda, Kenta; Tanaka, Takeyuki; Kawano, Hirotaka; Tanaka, Sakae
- Abstract
<bold>Background: </bold>Hip arthroplasty using acrylic prosthesis was once conducted; however, it has now been abandoned because of early breakages and wear of material. Therefore, complications or revision surgeries due to the use of acrylic prostheses are becoming rare.<bold>Case Presentation: </bold>A 76-year-old woman presented with a sudden onset of severe pain in her left femur while walking. Radiographs revealed severe osteolysis and periprosthetic femoral fracture 45 years after the initial hemiarthroplasty using an acrylic prosthesis. We performed a Girdlestone resection arthroplasty by removing the prosthesis and fixing the fracture site using an intramedullary nail and metal plate. The patient was pain-free in her hip and leg 2 years and 9 months after the surgery. Although she walked with a cane or crutches, no postoperative complications were observed.<bold>Conclusions: </bold>The combined use of an intramedullary nail and plate fixation with resection arthroplasty could offer acceptable results for patients with severe osteolysis and periprosthetic fracture after femoral head replacement using an acrylic prosthesis. Our report seems relevant because it not only reminds us of the significant steps made in the development of modern total hip arthroplasty; it also highlights one of the surgical options for severe osteolysis and periprosthetic fracture of the hip.
- Subjects
PERIPROSTHETIC fractures; FEMORAL fractures; HEMIARTHROPLASTY; BONE resorption; TOTAL hip replacement; INTRAMEDULLARY rods
- Publication
BMC Musculoskeletal Disorders, 2021, Vol 22, Issue 1, p1
- ISSN
1471-2474
- Publication type
journal article
- DOI
10.1186/s12891-021-04380-9