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Fracture femoral component exeter v40

https://doi.org/10.24884/0042-4625-2025-184-6-95-101

Abstract

The incidence of fractures of the femoral components of a hip implants ranges from 0.1 to 3.4 % and is an extremely rare orthopedic complication. In our clinic, a fracture of the Exeter V40 cement stem was diagnosed for the first time 3 years after implantation.

OBJECTIVE – to demonstrate a fracture of the cement femoral component, as well as a scientific analysis of the causes of this complication. The main reasons for the development of this complication were: excess weight (BMI – 39 kg/cm2), increased offset (head 36 mm in diameter, size +10) of the femoral component with a relatively small size (Exeter V40 37.5 N2) and early fretting corrosion.

About the Authors

A. N. Tsed
Pavlov University
Russian Federation

Tsed Aleksandr N., Dr. of Sci. (Med.), Professor, Head of the 2nd Traumatology and Orthopedic Department, Research Institute of Surgery and Emergency Medicine


Competing Interests:

The authors declare no conflict of interest. 



N. E. Mushtin
Pavlov University
Russian Federation

Mushtin Nikita E., Cand. of Sci. (Med.), Assistant of the Department of Traumatology and Orthopedics, Orthopedic Traumatologist of the 2nd Traumatology and Orthopedic Department, Research Institute of Surgery and Emergency Medicine


Competing Interests:

The authors declare no conflict of interest. 



A. V. Shmelev
Pavlov University
Russian Federation

Shmelev Anton V., Cand. of Sci. (Med.), Orthopedic Traumatologist, Head of the 2nd Traumatology and Orthopedic Department, Research Institute of Surgery and Emergency Medicine


Competing Interests:

The authors declare no conflict of interest. 



A. K. Dulaev
Pavlov University
Russian Federation

Dulaev Aleksandr K., Dr. of Sci. (Med.), Professor, Honored Physician of the Russian Federation, Member of «AO Trauma Russia», Head of the Department of Traumatology, Head of the Department of Traumatology and Orthopedics


Competing Interests:

The authors declare no conflict of interest. 



E. G. Sukhorukova
Pavlov University
Russian Federation

Sukhorukova Elena G., Cand. of Sci. (Med.), Senior Research Fellow, Scientific Laboratory of Pathomorphology, CRC Pathomorphology


Competing Interests:

The authors declare no conflict of interest. 



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For citations:


Tsed A.N., Mushtin N.E., Shmelev A.V., Dulaev A.K., Sukhorukova E.G. Fracture femoral component exeter v40. Grekov's Bulletin of Surgery. 2025;184(6):95-101. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-6-95-101

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