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

Bićanić, Goran and Crnogaća, Krešimir and Delimar, Domagoj (2014) A simple new technique for the removal of fractured femoral stems: a case report. Journal of Medical Case Reports, 8. p. 151. ISSN 1752-1947

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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 10 cm. It was then followed by a transversal osteotomy 2 cm 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.

Item Type: Article
Additional Information: © 2014 Bićanić et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
MeSH: Aged ; Arthroplasty, Replacement, Hip ; Femoral Fractures/surgery ; Femoral Neoplasms/surgery ; Femur/surgery ; Fibrosarcoma/surgery ; Fracture Fixation, Intramedullary/methods ; Hip Prosthesis ; Humans ; Male ; Osteotomy ; Reoperation
Departments: Katedra za ortopediju
Depositing User: Marijan Šember
Status: Published
Crnogaća, KrešimirUNSPECIFIED
Delimar, DomagojUNSPECIFIED
Date: 15 May 2014
Date Deposited: 15 Dec 2015 13:57
Last Modified: 16 Jul 2020 09:08
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/2352

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