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Case Reports in Orthopedics
Volume 2012 (2012), Article ID 158604, 4 pages
Case Report

A Case of a C-Stem Fracture at the Head-Neck Junction and a Review of the Literature

City General Hospital, University Hospital of North Staffordshire, Newcastle Road, Stoke-on-Trent ST4 6QG, UK

Received 8 October 2012; Accepted 25 October 2012

Academic Editors: D. A. Fisher and M. Huber

Copyright © 2012 David Morley et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report the first case of a fracture of the standard C-stem in combination with a large metal-on-metal articulation. This occurred at the head-neck junction. Analysis of the fractured stem showed evidence of fatigue failure with possible corrosion. The use of large femoral heads with neck adaptors and narrow tapers should be used with caution, especially in heavy, active patients.