Hoop-stress fractures of the proximal femur during hip arthroplasty. Management and results in 19 cases

M. A. Mont, D. C. Maar, K. A. Krackow, D. S. Hungerford

Research output: Contribution to journalArticle

Abstract

Retrospective review of 730 consecutive primary uncemented and cemented total hip arthroplasties revealed 19 intra-operative hoop-stress fractures of the femoral neck. These were incomplete, linear, and minimally displaced. Management was by cerclage wiring (12), bone graft and cerclage (two), further impaction (two), and the use of cement (three), with no change from our standard postoperative management and rehabilitation. Eighteen patients had excellent or good results with an average Harris hip score of 93. Radiographically, all but one patient had Engh stability-fixation scores consistent with stable bone ingrowth. We conclude that hoop-stress fractures of the proximal femur, properly managed, do not detract from the results of total hip arthroplasty.

Original languageEnglish (US)
Pages (from-to)257-260
Number of pages4
JournalJournal of Bone and Joint Surgery - Series B
Volume74
Issue number2
DOIs
StatePublished - 1992

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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