{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:12Z","timestamp":1787755572225,"version":"build-2784847793"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>In the setting of a total hip arthroplasty performed in a patient with a proximal femoral deformity, atraumatic periprosthetic femoral stress fracture may arise as a complication. We report a rare case of a late periprosthetic femoral stress fracture around a cemented stem in a patient with a history of fibrous dysplasia of the proximal femur. After a 10-year uneventful period, the patient complained about a subtle, subacute pain in his left thigh induced by exercise but not with daily axial load. Diagnosis of a nondisplaced, incomplete (i.e., only compromising the lateral femoral cortex) periprosthetic femoral stress fracture was made with plain radiographs, blood work, and bone scintigraphy. Surgical treatment consisted of a minimally invasive plate osteosynthesis bridging the femoral deformity plus percutaneous osteoperiosteal decortication. At 5-year follow-up, the patient was asymptomatic with full return to physical activity, with radiographs evidencing callus formation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Stress fractures around well-fixed femoral stems, while infrequent, should be addressed in patients with a history of severe proximal femur deformity experiencing atraumatic thigh pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00017","type":"journal-article","created":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T14:52:17Z","timestamp":1689951137000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Late Periprosthetic Femoral Stress Fracture Associated with Extra-articular Deformity in a Patient with Fibrous Dysplasia"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4902-9985","authenticated-orcid":false,"given":"Marcelo Adolfo","family":"Dozo","sequence":"first","affiliation":[{"name":"Hip Surgery Unit, Institute of Orthopaedics \u201cCarlos E. Ottolenghi\u201d, Italian Hospital of Buenos Aires, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariano Oscar","family":"Abrego","sequence":"additional","affiliation":[{"name":"Hip Surgery Unit, Institute of Orthopaedics \u201cCarlos E. Ottolenghi\u201d, Italian Hospital of Buenos Aires, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2848-2983","authenticated-orcid":false,"given":"Fernando","family":"Comba","sequence":"additional","affiliation":[{"name":"Hip Surgery Unit, Institute of Orthopaedics \u201cCarlos E. Ottolenghi\u201d, Italian Hospital of Buenos Aires, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo","family":"Zanotti","sequence":"additional","affiliation":[{"name":"Hip Surgery Unit, Institute of Orthopaedics \u201cCarlos E. Ottolenghi\u201d, Italian Hospital of Buenos Aires, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3329-778X","authenticated-orcid":false,"given":"Mart\u00edn Alejandro","family":"Buttaro","sequence":"additional","affiliation":[{"name":"Hip Surgery Unit, Institute of Orthopaedics \u201cCarlos E. Ottolenghi\u201d, Italian Hospital of Buenos Aires, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8957-075X","authenticated-orcid":false,"given":"Pablo Ariel","family":"Slullitel","sequence":"additional","affiliation":[{"name":"Hip Surgery Unit, Institute of Orthopaedics \u201cCarlos E. 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