Recurrent femoral stem fractures in Dorr A femurs: Lessons learned and a call for alternative strategies

doi:10.5662/wjm.v15.i4.106708

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Dec 20, 2025 (publication date) through Aug 4, 2025

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World Journal of Methodology

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2222-0682

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Methodol. Dec 20, 2025; 15(4): 106708
Published online Dec 20, 2025. doi: 10.5662/wjm.v15.i4.106708

Recurrent femoral stem fractures in Dorr A femurs: Lessons learned and a call for alternative strategies

Carlos M Lucero, Juan Bautista Luco, Agustin Albani Forneris, Martin A Buttaro

Carlos M Lucero, Agustin Albani Forneris, Martin A Buttaro, Centro de Cadera ''Sir John Charnley'' Instituto de Ortopedia y Traumatologia Prof. Dr. Carlos E. Ottolenghi, Hospital Italiano de Buenos Aires, Capital Federal C1198AAW, Buenos Aires, Argentina

Juan Bautista Luco, Instituto de Ortopedia y Traumatologia Prof. Dr. Carlos E. Ottolenghi, Hospital Italiano de Buenos Aires, Ciudad Autonoma de Buenos Aires C1198AAW, Buenos Aires, Argentina

Author contributions: Lucero CM served as the principal author of both the current study and the previous related work; Luco JB was responsible for obtaining informed consent and organizing the relevant case documentation; Forneris AA contributed as a secondary writer and assisted in patient follow-up; Buttero MA acted as the senior author, overseeing the project and making the necessary revisions.

Conflict-of-interest statement: All the authors declare that they have no competing interests.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Juan Bautista Luco, MD, Instituto de Ortopedia y Traumatologia Prof. Dr. Carlos E. Ottolenghi, Hospital Italiano de Buenos Aires, Ciudad Autonoma de Buenos Aires C1198AAW, Buenos Aires, Argentina. bautista.luco@hospitalitaliano.org.ar

Received: March 5, 2025
Revised: May 4, 2025
Accepted: May 29, 2025
Published online: December 20, 2025
Processing time: 152 Days and 21.3 Hours

Core Tip

Core Tip: This case highlights bilateral femoral stem fractures in a patient with Dorr A femoral morphology, raising concerns about the mechanical reliability of cemented fixation in such cases. Through successful management with cortical window osteotomy and uncemented distal fixation, we emphasize the importance of tailoring revision strategies to femoral anatomy. Our experience reinforces the need to reconsider implant selection in Dorr A femurs to prevent recurrent failure.