Femoral Component Breakage in Primary Reverse Hybrid Hip Replacement - A Case Report

Abstract

Reverse hybrid hip replacement represents a combination of a cemented polyethylene cup and an uncemented femoral stem. Breakage of the femoral component is a rare complication in total hip replacement compared to loosening, periprosthetic fractures or infections. There are some methods described in literature used for removing the fractured femoral stems. Retrograde removing of the fractured prosthetic stem using a rigid femoral reamer introduced trough a standard retrograde nailing approach can be helpful and it seems to be more effective compared with other methods, by preserving the proximal part of the femur leading to a superior stability of the new implanted prosthetic stem and early mobilization of the patient.