The patient is a 63-year-old man who previously underwent a right total hip arthroplasty with the Corin MiniHip femoral stem. Within the first few months postoperatively, he had a fall that resulted in subsidence of his femoral prosthesis and subsequent revision shortly thereafter with a 10-mm skirted cobalt chrome femoral head. Eight years after the index procedure, the patient heard a crack and then collapsed while putting on bicycle shorts. Workup demonstrated a fracture of the stem at the base of the neck of the implant. Femoral stem revision with a diaphyseal engaging, modular implant, and dual mobility hip construct was performed.
Atraumatic catastrophic failure of the femoral stem implant may be associated with long skirted femoral heads that create excessive bending moments on the stem and revision surgery.