Archives of orthopaedic and traumatic surgery

, Volume 107, Issue 4, pp 236–241 | Cite as

Shaft fissures due to implantation of cementless total endoprostheses of the hip joint

An experimental study
  • S. Jantsch
  • M. Leixnering
  • W. Schwägerl
  • H. Hackl
Original Articles


Since 1982, at the Orthopedic Department of the Pulmologic Center of the City of Vienna we have used the Zweymüller shaft system and the pyramidal threaded socket by Schwdgerl when implanting cementless hip endoprostheses. Some patients repeatedly complained about pains in the shaft region within the first postoperative months, though these complaints could not be explained clinically or radiographically. On 15 human cadavers we implanted a total of 20 Zweymüller shafts and examined the femurs for ruptures of the shaft. Our special interest was the course of the fracture lines, their location, and their display on roentgenograms. It appeared that fissures of shaft are easily caused by the forced driving-in of the prosthesis. In about half of all cases the fissure cannot be seen on roentgenograms because of the site is covered by the implant itself. The fracture lines do not always begin intertrochanterally or from the calcar femoris; theorefore, they cannot be recognized during surgery. This problem should be considered during implantation as well as during postoperative remobilization.


Public Health Special Interest Fracture Line Human Cadaver Orthopedic Department 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Lauber P, Müller W (1986) Analyse kritisch relevanter Komplikationen und technischer Fehler bei Implantation von zementfreien Komponenten in der Hüftendoprothetik. In: Zweymüller K (ed) Das zementfreie Hüftendoprothesensystem Zweymüller-Endler. Facultas, Vienna, pp 155–173Google Scholar
  2. 2.
    Lintner F, Zweymüller K, Brand G (1986) Tissue reactions to titanium endoprostheses — autopsy studier in four Gases. J Arthroplasty 1:183–195Google Scholar
  3. 3.
    Morscher E (ed) (1983) Die zementlose Fixation von Hüftendoprothesen. Springer, Berlin Heidelberg New YorkGoogle Scholar
  4. 4.
    Pflüger G (1986) Zur Frage der Schmerzhaftigkeit und Frühlockerung einer primär lege artis implantierten zementfreien Geradschaftprothese Zweymüller. In: Zweymüller K (ed) Das zementfreie Hüftendoprothesensystem Zweymüller-Endler. Facultas, Vienna, pp 279–284Google Scholar
  5. 5.
    Schneider R (1982) Die Totalendoprothese der Hüfte. Huber, BernGoogle Scholar
  6. 6.
    Schwägerl W, Jantsch S, Timmel M (1986) Dreijährige Erfahrungen mit einer zementfrei implantierbaren Pyramidenschraubpfanne nach Schwägerl. In: Refior HJ, Hackenbroch MH, Wirth CJ (eds) Der alloplastische Ersatz der Hüftpfanne. Thieme, Stuttgart, pp 114–119Google Scholar
  7. 7.
    Schwägerl W, Stockinger G, Preschitz H (1986) Die zementfreie Totalendoprothese der Hüfte mittels Titanschaft und Polyäthylenpyramidenpfanne. In: Zweymüller K (ed) Das zementfreie Hüftendoprothesensystem Zweymüller-Endler. Facultas, Vienna, pp 18–24Google Scholar
  8. 8.
    Semlitsch M (1984) Kombination von Titanlegierung, Oxidkeramik und Polyäthylen als erprobte Implantatwerkstoffe für ein zementfreies Hüftendoprothesen-Baukastensystem. In: Bauer R, Kerschbaumer F (eds) Die Koxarthrose. Med Lit Verlag, Uelzen, pp 253–255Google Scholar
  9. 9.
    Zweymüller K (1986) Das zementfreie Hüftendoprothe-sensystem Zweymüller-Endler. Facultas, ViennaGoogle Scholar
  10. 10.
    Zweymüller K, Semlitsch M (1982) Concept and material properties of a cementless hip prothesis system with Al2O3 ceramic ball heads and wrought Ti-6Al-4V stems. Arch Orthop Trauma Surg 100:229Google Scholar
  11. 11.
    Zweymüller K (1986) A cementless titanium hip endoprosthesis system based on press-fit fixation. Basic research and clinical results. In: Instructional course lectures, vol 35. CV Mosby, St LouisGoogle Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • S. Jantsch
    • 1
  • M. Leixnering
    • 2
  • W. Schwägerl
    • 1
  • H. Hackl
    • 3
  1. 1.Orthopädische AbteilungPulmologisches ZentrumVienna
  2. 2.Unfallkrankenhaus Lorenz BöhlerVienna
  3. 3.Pathologisch-Bakteriologisches InstitutPsychiatrisches Krankenhaus Baumgartner HöheVienna

Personalised recommendations