Simultaneous Bilateral Proximal Femur Implant Failure: A Case Report

Authors

Smitha E. Mathew, Orthopaedic Surgery and Sports Medicine, Children's National Hospital, Washington, DC, USA.
Alisa Malyavko, Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Sean Tabaie, Orthopaedic Surgery and Sports Medicine, Children's National Hospital, Washington, DC, USA.

Document Type

Journal Article

Publication Date

12-1-2022

Journal

Cureus

Volume

14

Issue

12

DOI

10.7759/cureus.32543

Keywords

developmental dysplasia of the hip; implant fracture; moebius syndrome; osteotomy; pediatric orthopedic surgery

Abstract

A seven-year-old boy with Moebius syndrome and bilateral hip dysplasia underwent left-sided adductor lengthening, bilateral proximal femur varus derotational osteotomies, and internal fixation with proximal femur blade plates, and left-sided Dega pelvic osteotomy. Postoperatively, he was immobilized in a Petrie cast. A month later, the child presented with bilateral proximal femur blade plate implant failure. Simultaneous bilateral proximal femur implant failure in a child, to our knowledge, has not yet been reported. Implant failure in the absence of significant trauma is rare. We describe various contributory factors that may lead to implant failure which must be carefully considered while managing a non-ambulatory child.

APA Citation

Mathew, Smitha E.; Malyavko, Alisa; and Tabaie, Sean, "Simultaneous Bilateral Proximal Femur Implant Failure: A Case Report" (2022). GW Authored Works. Paper 2092.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/2092

Department

School of Medicine and Health Sciences Student Works