Total hip arthroplasty after prior surgical treatment of hip fracture is it always challenging?
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 21798695.
- Also identified by DOI 10.1016/j.arth.2011.05.014.
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Abstract
Salvage total hip arthroplasty (THA) presents a viable solution for failed open reduction internal fixation. This study compares salvage THA in patients with prior femoral neck fractures vs patients with prior intertrochanteric fractures. One hundred fifty-four hips in 152 patients underwent conversion from open reduction internal fixation to THA. Eighty-three patients had previous femoral neck fractures, and 69 patients (71 hips) had prior intertrochanteric fractures. Salvage THA in patients with prior intertrochanteric fractures presented a more technically demanding procedure with longer operative times and larger amounts of blood loss. Although conversion THA presents a technically challenging procedure, it is safe and yields relatively few orthopedic complications.
Medical subject headings
- Arthroplasty, Replacement, Hip
- Hip Fractures
Anatomy
- hip
- femur