VOL. 7, No. 1/2, December 2011

V. Y. Ng, et al. [2011] Med. Hypotheses Res. 7: 39−42.

Prophylactic Fixation of the Femoral Neck after Hip
Resurfacing Arthroplasty

Vincent Y. Ng, Phillip H. Horne and Thomas J. Ellis*

Department of Orthopaedics, The Ohio State University Medical Center (VYN, TJE),
Columbus, OH 43221, USA (VYN, TJE), and Department of Orthopaedics, Duke University
Medical Center, Durham, NC 27708, USA (PHH)

Abstract. Technical error during hip resurfacing arthroplasty can compromise the
structural integrity of the femoral neck and place the patient at increased risk for fracture.
Hip resurfacing arthroplasty is a challenging procedure, and as more inexperienced surgeons
attempt to perform it, the incidence of this potentially disastrous complication will increase.
Salvage of the arthroplasty after fracture is very difficult. We propose a simple technique of
prophylactic internal fixation of the femoral neck with parallel pins in cases in which the
surgeon recognizes an intraoperative technical error that predisposes the patient to fracture.

* Correspondence: Dr. Thomas J. Ellis, Department of Orthopaedics, the Ohio State
University Medical Center, 2050 Kenny Road, Columbus, OH 43221, USA. TEL: 614-293-
3541. FAX: 614-293-2910. E-MAIL: