Prosthetic Neck Fracture of a Cementless Titanium Femoral Stem

This case report presents a unique instance of a prosthetic neck fracture in an 81-year-old male with a CERAVER CERAFIT titanium (Ti6Al4V) femoral implant paired with a ceramic-on-ceramic total hip replacement. No fractures of the neck of a titanium femoral stem coated with hydroxy-apatite have been reported in the literature for this type of implant. The patient experienced a sudden, non-traumatic fracture, many years after his primary surgery. The report discusses the clinical presentation, diagnostic findings, known risk factors for femoral neck implant fractures, surgical management, and the outcome.