Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Fracture of the lower extremity after total hip replacement

  • 70 Accesses

  • 55 Citations

Summary

The incidence of ipsilateral fracture of the lower extremity after total hip replacement (THR) was evaluated in 1442 THRs performed between 1968 and 1983. Twenty-two fractures had occurred, of which 14 were femoral. Twelve of the femoral fractures occurred in women and two in men. The accumulated postoperative risk of femoral fracture during an observation period of 15 years was 25.3 per 1000. Short femoral stems were associated with proximal femoral fractures and long stems with more distal femoral fractures. No specific preoperative diagnosis such as arthrosis, rheumatoid arthritis, or femoral neck fracture was associated with significantly increased incidence of postoperative fractures.

This is a preview of subscription content, log in to check access.

References

  1. 1.

    Bethea III JS, De Antrade JR, Fleming LL, Lindenbaum SD, Welch RB (1982). Proximal femoral fractures following total hip arthroplasty. Clin Orthop 170:95–106

  2. 2.

    Dobbs HS (1980) Survivorship of total hip replacements. J Bone Joint Surg [Br] 62:168–173

  3. 3.

    Fredin HO, Lindberg H, Carlsson ÅS (1987) Femoral fracture following hip arthroplasty. Acta Orthop Scand 58:20–22

  4. 4.

    Johansson JE, McBroom A, Barrington TW, Hunter GA (1981) Fracture of the ipsilateral femur in patients with total hip replacement. J Bone Joint Surg [Am] 63:1435–1442

  5. 5.

    McElfresh EG, Conventry MB (1974) Femoral and pelvic fractures after total hip arthroplasty. J Bone Joint Surg [Am] 56:483–492

  6. 6.

    Parrish TF, Jones JR (1964) Fracture of the femur following prosthetic arthroplasty of the hip. J Bone Joint Surg [Am] 46:241–248

  7. 7.

    Armitage P (1971) Survivorship tables. In: Statistical methods in medical research. Blackwell, Oxford, pp 408–414

Download references

Author information

Correspondence to G. Löwenhielm.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Löwenhielm, G., Hansson, L.I. & Kärrholm, J. Fracture of the lower extremity after total hip replacement. Arch Orthop Trauma Surg 108, 141–143 (1989). https://doi.org/10.1007/BF00934256

Download citation

Keywords

  • Public Health
  • Rheumatoid Arthritis
  • Arthritis
  • Femoral Neck
  • Lower Extremity