PMC4716447_01
Periprosthetic fracture distal tip of right total hip replacement.
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She subsequently sustained a periprosthetic fracture at the distal tip of her right total hip replacement (Fig. 1).
Plate and Dall-Miles cable fixation of periprosthetic fracture.
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An initial attempt was made to manage this fracture with a plate and Dall-Miles cables (Fig. 2); however, the fracture did not unite.
Custom-made cement-linked internal proximal femoral replacement.
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The patient went on to have a custom-made cement-linked internal proximal femoral replacement, which had a hollow cylindrical design to accept the stem of the existing well-fixed distal femoral component (Figs 3 and 4).
Existing distal femoral replacement with stem linked to custom-made internal proximal femoral component visible in upper half of the image.
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The patient went on to have a custom-made cement-linked internal proximal femoral replacement, which had a hollow cylindrical design to accept the stem of the existing well-fixed distal femoral component (Figs 3 and 4).
Full length femur radiograph illustrating fatigue fracture in stem of original distal femoral component.
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Retained proximal femoral component with new custom-made cement-linked distal femoral prosthesis visible in lower half of the image.
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New custom-made distal femoral prosthesis cement-linked to original salvage proximal femoral component visible in upper half of the image.
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