Abstract
The Exeter femoral stem is a collarless, polished, tapered stem with an excellent track record. It is designed to subside into the cement mantle by creep and plastic deformation of the cement thereby tightening its fit. We present the case of a 121 kilogram 68 year old male patient who had previously undergone bilateral cemented total hip arthroplasty using the Exeter system (Howmedica, Stryker) for underlying osteoarthritis of the hips. He presented 9 years after surgery with catastrophic failure of the left femoral stem, following a mechanical fall from a standing height. We believe this unusual case of stem fracture has not been previously documented in the English literature with the current design of stem.
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