Femoral Component Fracture in a Total Knee Arthroplasty Patient With a Persistent Flexion Contracture

Bibliographic Details
Title: Femoral Component Fracture in a Total Knee Arthroplasty Patient With a Persistent Flexion Contracture
Authors: Jackson P. Tate, BA, Andrew M. Schneider, MD, Nicholas M. Brown, MD
Source: Arthroplasty Today, Vol 22, Iss , Pp 101174- (2023)
Publisher Information: Elsevier, 2023.
Publication Year: 2023
Collection: LCC:Orthopedic surgery
Subject Terms: Flexion contracture, Component fracture, Fatigue failure, Orthopedic surgery, RD701-811
More Details: This article reports a rare case of a total knee arthroplasty femoral component fracture. Fractures of early knee systems were attributed to design flaws. Modern design failures have been attributed to poor surgical technique or underlying osteolysis. Here, we report a fracture in the Vanguard prosthesis (Zimmer Biomet, Warsaw, IN) 12 years after implantation in a patient with a persistent flexion contracture. The fracture likely occurred due to fatigue failure of the anterior flange secondary to increased stress from a high riding patella. Although femoral component fractures are rare, they should be considered as a potential complication, especially in patients with special load considerations. For these patients, it is essential that the prosthesis be properly supported with clean cuts and an adequate cement mantle.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2352-3441
Relation: http://www.sciencedirect.com/science/article/pii/S2352344123000791; https://doaj.org/toc/2352-3441
DOI: 10.1016/j.artd.2023.101174
Access URL: https://doaj.org/article/c8c090b7d6214a3392594c74be7cfc35
Accession Number: edsdoj.8c090b7d6214a3392594c74be7cfc35
Database: Directory of Open Access Journals
More Details
ISSN:23523441
DOI:10.1016/j.artd.2023.101174
Published in:Arthroplasty Today
Language:English