Pain syndrome in patient after hip replacement with a dual-modular femoral component (case report)

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Abstract

Total hip replacements with dualmodular femoral components (stemneck interface) allow optimization of hip joint biomechanics via selective restoration of femoral anteversion, offset, and limb length theoretically improving muscle function and stability. Potential disadvantages are the additional stemneck interface and the possible generation of metal ions and debris by fretting and crevice corrosion. The authors reported a case of patient with dualmodular stem presenting with pain and decreased function. Earlyonset adverse inflammatory tissue reactions developed as a result of corrosion at the stemneck interface of a dualmodular implant, requiring subsequent revision of wellfixed components with an extended trochanteric osteotomy. Additional examinations excluded infection. We consider that patients with a modular stem and neck junction and presenting with pain should be suspected on corrosion at the stemneck interface and adverse inflammatory tissue reaction after infection exclusion.

About the authors

R. M. Tikhilov

Vreden Russian Research Institute of Traumatology and Orthopedics; Mechnikov NorthWestern State Medical University

Author for correspondence.
Email: noemail@neicon.ru
Russian Federation

I. I. Shubnyakov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Russian Federation

A. N. Kovalenko

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: tonnchik@ya.ru
Russian Federation

A. V. Tsybin

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Russian Federation

V. P. Rumakin

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Russian Federation

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