Fracture de fatigue d’une tige fémorale type Charnley-Kerboull à 38 ans de recul : à propos d’un cas
Keywords:
arthroplasty, replacement, hip, stress fracture, reoperationAbstract
Over the past 40 years, total hip arthroplasty has emerged as the treatment of choice for coxarthrosis. Femoral stem fracture is a recognized but uncommon complication of hip arthroplasty. We report the case of a fatigue fracture of a Charnley-Kerboul (CK) type femoral stem 38 years after implantation, the technical difficulties encountered during revision, and the biomechanical explanation for the occurrence of this complication.
Résumé
Au fil des 40 dernières années, l'arthroplastie totale de la hanche a émergé comme le traitement de choix pour les coxarthroses. La fracture de la tige fémorale est une complication reconnue mais peu fréquente de l'arthroplastie de la hanche. On rapporte le cas d’une fracture de fatigue d’une tige fémorale type Charnley-Kerboul (CK) à 38 ans de sa pose, les difficultés techniques lors de la reprise, et l’explication biomécanique de la survenue de cette complication.
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