Fractures of Corin 'Taper-Fit' CDH stems used in 'cement-in-cement' revision total hip replacement

J Bone Joint Surg Br. 2007 Mar;89(3):393-5. doi: 10.1302/0301-620X.89B3.18200.

Abstract

We describe two cases of fracture of Corin Taper-Fit stems used for cement-in-cement revision of congenital dysplasia of the hip. Both prostheses were implanted in patients in their 50s, with high offsets (+7.5 mm and +3.5 mm), one with a large diameter (48 mm) head and one with a constrained acetabular component. Fracture of the stems took place at nine months and three years post-operatively following low-demand activity. Both fractures occurred at the most medial of the two stem introducer holes in the neck of the prosthesis, a design feature that is unique to the Taper-Fit stem. We would urge caution in the use of these particular stems for cement-in-cement revisions.

Publication types

  • Case Reports

MeSH terms

  • Acetabulum / surgery
  • Arthroplasty, Replacement, Hip / methods*
  • Bone Cements
  • Female
  • Femur / surgery
  • Hip Dislocation, Congenital / surgery*
  • Hip Prosthesis*
  • Humans
  • Middle Aged
  • Prosthesis Failure
  • Reoperation
  • Treatment Outcome

Substances

  • Bone Cements