CC BY-NC-ND 4.0 · Joints 2018; 06(02): 128-130
DOI: 10.1055/s-0038-1660815
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Stress Fracture of Proximal Femur after Hip Resurfacing Treated with Cannulated Screw

Daniele Fabbri
1   Hip Resurfacing Service, IRCCS Galeazzi Orthopaedic Institute, San Siro Clinical Institute, Milan, Italy
Riccardo Orsini
1   Hip Resurfacing Service, IRCCS Galeazzi Orthopaedic Institute, San Siro Clinical Institute, Milan, Italy
Antonio Moroni
2   Hip Resurfacing Department, San Raffaele Hospital, Vita e Salute University, Milan, Italy
› Author Affiliations
Further Information

Publication History

18 February 2018

12 May 2018

Publication Date:
22 June 2018 (online)


Stress fractures of the proximal femur are described in athletes and military personnel. In most cases, they are not treated surgically, except when they are at the top of the femoral neck and with cortical involvement. The return to sports is not recommended in patients with hip replacement, especially for the high rate of revision of implants in the younger patients. One of the major complications of hip resurfacing (HR) is the medial fracture of the femoral neck, which usually occurs within 9 weeks after surgery. The causes have to be attributed to a malposition of the femoral component or to an insufficient bone density. The case reported herein is unique because it describes a stress fracture on patient operated with HR, treated with screw fixation. Two years after surgery, the patient returned to his normal life, practicing sports, without progression of varus angulation of the stem.

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