Intraoperative Proximal Femoral Fracture in Primary Cementless Total Hip Arthroplasty.
Publication/Presentation Date
8-1-2015
Abstract
Intraoperative proximal femoral fracture is a complication of primary cementless total hip arthroplasty (THA) at rates of 2.95-27.8%. A retrospective review of 2423 consecutive primary cementless THA cases identified 102 hips (96 patients) with fracture. Multivariate analysis compared fracture incidences between implants, Accolade (Stryker Orthopaedics) and Tri-Lock (DePuy Orthopaedics, Inc.), and evaluated potential risk factors using a randomized control group of 1150 cases without fracture. The fracture incidence was 4.4% (102/2423), 3.7% (36/1019) using Accolade and 4.9% using Tri-Lock (66/1404) (P=0.18). Female gender (OR=1.96; 95% CI 1.19-3.23; P=0.008) and smaller stem size (OR=1.64; 95% CI 1.04-2.63; P=0.03) predicted increased odds of fracture. No revisions of the femoral component were required in the fracture cohort.
Volume
30
Issue
8
First Page
1418
Last Page
1422
ISSN
1532-8406
Published In/Presented At
Ponzio, D. Y., Shahi, A., Park, A. G., & Purtill, J. J. (2015). Intraoperative Proximal Femoral Fracture in Primary Cementless Total Hip Arthroplasty. The Journal of arthroplasty, 30(8), 1418–1422. https://doi.org/10.1016/j.arth.2015.02.043
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
25791673
Department(s)
Administration and Leadership
Document Type
Article