Head and neck replacement endoprostheses for pathologic proximal femoral lesions

Henry D. Clarke, Timothy A. Damron, Franklin H. Sim

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Records of 28 patients with pathologic lesions in the proximal femur treated by implantation of a femoral head and neck replacement prosthesis between 1984 and 1995 were reviewed. Mean clinical followup was 47.8 months in the eight living patients and 15.8 months in the 20 patients who had died. The underlying diagnosis was metastatic disease or myeloma in 22 patients. The most frequently occurring indication for implantation of this device was a pathologic fracture in 26 patients (18 displaced, eight impending), followed by resection and reconstruction in two patients. All femoral components were cemented: 23 were bipolar hemiarthroplasties and five were total hip arthroplasties. Implant survivorship was good (93%), with only two prostheses removed during the followup period, both for infection. However, radiographic analysis revealed increasing lucencies with time, particularly in the most proximal zones, resulting in radiographic failure in an additional case. Deep infection occurred in three cases, leading to resection arthroplasty in two patients. Periprosthetic fractures occurred in three cases, but only one occurred intraoperatively. Despite a high complication rate, the good implant survival during the shortened life span of these patients supports the continued use of femoral head and neck replacement prostheses in this population.

Original languageEnglish (US)
Pages (from-to)210-217
Number of pages8
JournalClinical Orthopaedics and Related Research
Issue number353
StatePublished - 1998

Fingerprint

Thigh
Neck
Head
Prostheses and Implants
Femur Neck
Arthroplasty
Periprosthetic Fractures
Hemiarthroplasty
Spontaneous Fractures
Infection
Femur
Hip
Survival Rate
Equipment and Supplies
Survival
Population

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Head and neck replacement endoprostheses for pathologic proximal femoral lesions. / Clarke, Henry D.; Damron, Timothy A.; Sim, Franklin H.

In: Clinical Orthopaedics and Related Research, No. 353, 1998, p. 210-217.

Research output: Contribution to journalArticle

Clarke, Henry D. ; Damron, Timothy A. ; Sim, Franklin H. / Head and neck replacement endoprostheses for pathologic proximal femoral lesions. In: Clinical Orthopaedics and Related Research. 1998 ; No. 353. pp. 210-217.
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