Total Hip Arthroplasty After Prior Surgical Treatment of Hip Fracture Is it Always Challenging?
Rothman Institute of Orthopedics at Thomas Jefferson University,Philadelphia, Pennsylvania 19107, USA. The Journal of arthroplasty
(Impact Factor: 2.67).
07/2011; 27(1):31-6. DOI: 10.1016/j.arth.2011.05.014
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.
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