The literature article entitled, "fractured femoral stems in primary and revision hip arthroplasties revisited: wrightington experience" written by hosam e.Matar, bsc (hons), msc (ed), frcs (tr&orth), veenesh selvaratnam, frcs (tr&orth), tim n.Board, md, frcs (tr&orth), bodo purbach, md, martyn l.Porter, frcs, peter r.Kay, frcs, nikhil shah, frcs (tr&orth) published by journal of arthroplasty published online 18 january 2020 was reviewed.The article's purpose was to present the authors' experience in managing fractured femoral stems over the last 10 years for both primary and revision stems at their tertiary unit focusing on modes of failure and operative techniques.The article presents data set of 35 hips with fractured primary and revision femoral stems that were revised between 2008 and 2018 separated in three groups: primary arthroplasty with composite beam and miscellaneous stems (10 hips; table 1), primary arthroplasty with cemented polished tapered stems (15 hips; table 2), and revision arthroplasty patients (10 hips; table 3).It is noted that depuy and non-depuy stems are listed in all three groups reflected in all three tables.By calculation, the original four charnely stems from table 1 were implanted prior to 1991 as the years to fracture range is 28 to 43 years and the years of revision occurred between 2008 and 2018.Figure 1,2, and 4 provides a radiographic images of fractured depuy stems.Figure 5 provides radiographic images of a 85 year old man with fractured kar (depuy) stem and no dates are provided for the implantation of the primary charnley to determine if it is associated with depuy.Figure 6 provides radiographic image of a fractured unidentified stem.Depuy product(s): charnley elite stems (total qty 2), c-stems (total qty 12), kar stems (total qty 3), reef stem (total qty 1).Adverse events: fractured stems (treated by revision).Figure 5 of a (b)(6) year old with fractured kar stem (counts for 1 of 3 total qty).
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