Traumatic Floating Total Hip Arthroplasty: A Case Report

JBJS Case Connect. 2024 May 10;14(2). doi: 10.2106/JBJS.CC.24.00046. eCollection 2024 Apr 1.

Abstract

Case: A 58-year-old woman with medical history of a left total hip arthroplasty performed by the direct anterior (DA) approach 2 years prior presented with left hip pain. She was found to have sustained a transverse Vancouver C periprosthetic femur fracture and an unstable periprosthetic pelvic fracture.

Conclusions: This patient's case represents a previously not reported injury about a total hip arthroplasty-with disruption distal to the femoral implant and proximal to the acetabular implant, with the implant-to-bone interface unaffected. This case may guide future treatment of similar injuries.

Publication types

  • Case Reports

MeSH terms

  • Arthroplasty, Replacement, Hip* / adverse effects
  • Female
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / etiology
  • Femoral Fractures / surgery
  • Humans
  • Middle Aged
  • Periprosthetic Fractures* / diagnostic imaging
  • Periprosthetic Fractures* / etiology
  • Periprosthetic Fractures* / surgery