Endosteal reaction in the region surrounding the stem of a cement-free prosthesis. An early radiological sign of imminent fracture of the femoral shaft?

Wedemeyer C.; Russe K.; von Knoch M.Saxler G.

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Endosteal reaction in the region surrounding the stem of a cement-free prosthesis. An early radiological sign of imminent fracture of the femoral shaft?

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abstract_textpPeriprosthetic fractures are familiar complications after total hip arthroplasty and have often been reported in the literature. The most frequent localization of such fractures is the middle third of the shaft. In the case described here a minor trauma resulted in a periprosthetic fracture with fracture of the femur and of the femoral component of a Lord prosthesis. A radiograph taken prior to trauma showed an endosteal reaction at the level at which the fracture later occurred. This might have been an indication that the stem of the prosthesis was already broken; had this radiological sign been correctly interpreted, it is possible that the fracture could have been avoided./p/abstract_text

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《Der Unfallchirurg》 |2007年第1期|75-77|共3页
作者
Wedemeyer C.; Russe K.; von Knoch M.Saxler G.;
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作者单位

Univ Duisburg Essen, Klin Orthopadie, Ev Krankenhaus Essen Werden, D-45329 Essen, Germany;

Univ Duisburg Essen, Unfallchirurg Klin, Essen, Germany;

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正文语种英语
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endosteal reaction; fracture of the femoral stem of an endoprosthesis; TOTAL HIP-REPLACEMENT; ARTHROPLASTY; MECHANISMS; OSTEOLYSIS; FAILURE;

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Endosteal reaction in the region surrounding the stem of a cement-free prosthesis. An early radiological sign of imminent fracture of the femoral shaft?

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