Hip arthroplasty for failed treatment of proximal femoral fractures

D’Arrigo, Carmelo; Perugia, Dario; Carcangiu, Alessandro; Monaco, Edoardo; Speranza, Attilio; Ferretti, Andrea

doi:10.1007/s00264-009-0834-x

Cited by 70 publications

(48 citation statements)

References 18 publications

(16 reference statements)

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“…Both intertrochanteric and trans-cervical fractures have been included along with osteotomies for hip fractures. While there are many recent studies18–20 on success of THA as a salvage procedure for failed internal fixation of hip, the literature on infected failed fixation is minimal. Pang-Hsin Hseih et al .,1 have described a series of only failed and infected intertrochanteric fracture fixation implants which have been treated with two-stage arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Outcome of total hip arthroplasty as a salvage procedure for failed infected internal fixation of hip fractures

Mohanty¹,

Agashe²,

Sheth³

et al. 2013

IJOO

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Background:Failed infected internal fixation produces significant pain and functional disability. In infected internal fixation of hip fractures with partial or complete head destruction, total hip arthroplasty (THA) can be technically challenging; however, it restores hip biomechanics. The present study is to evaluate the results and assess the complications of THA following failed infected internal fixation of these fractures.Materials and Methods:A retrospective review of prospectively collected data in a tertiary healthcare center was performed of 20 consecutive patients of THA following failed infected internal fixation operated between September 2001 and November 2007. There were 11 dynamic hip screw failures for intertrochanteric fractures, 6 failed osteotomies following transcervical fractures, and 3 failed screw fixations for transcervical fractures.Results:The average age of the patients was 48.5 years (range 28-70 years) and the average followup period was 6.5 years (range 3.5-10.5 years). An indigenously designed cement spacer was used in a majority of patients (n = 15). The custom-made antibiotic impregnated cement spacer was prepared on-table, with the help of a K-nail bent at 130°, long stem Austin Moore's prosthesis (n=1), Charnley's prosthesis (n=1), or bent Rush nail (n=1). The antibiotic mixed cement was coated over the hardware in its doughy phase and appropriately shaped using an asepto syringe or an indigenously prepared spacer template. Nineteen of the 20 patients underwent two-stage revision surgeries. The average Harris hip score improved from 35.3 preoperatively to 82.85 postoperatively at the last followup. A significant difference was found (P < 0.0001). None of the patients had recurrence of infection.Conclusions:The results were comparable to primary arthroplasty in femoral neck fractures. Thus, THA is a useful salvage procedure for failed infected internal fixation of hip fractures.

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Section: Discussionmentioning

confidence: 99%

Outcome of total hip arthroplasty as a salvage procedure for failed infected internal fixation of hip fractures

Mohanty¹,

Agashe²,

Sheth³

et al. 2013

IJOO

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show abstract

“…While these procedures generally have successful outcomes [3], complications such as non-union, migration of hardware, osteonecrosis of the femoral head, infection, or post-traumatic osteoarthritis do occur [5][6][7][8][9][10][11]. Failed surgical fixation of hip fractures often result in conversion THA as a salvage treatment [12].…”

mentioning

confidence: 97%

The Lawrence D. Dorr Surgical Techniques & Technologies Award: Conversion Total Hip Arthroplasty: Is it a Primary or Revision Hip Arthroplasty

Baghoolizadeh

Schwarzkopf

2016

The Journal of Arthroplasty

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“…The use of a calcar-replacement and/or a modular implant should be considered for challenging cases of hip reconstruction even after failed peritrochanteric treatment [18]. Revitan curved cementless modular stem represents a useful treatment option in salvage THA of failed peritrochanteric fixation [19].…”

Section: Discussionmentioning

confidence: 99%

Salvage of failed hip osteosynthesis for fractures with modular hip prosthesis

Karampinas

Kollias

Vlamis

et al. 2015

Eur J Orthop Surg Traumatol

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Hip arthroplasty for failed treatment of proximal femoral fractures

Abstract: Failed treatment of an intertrochanteric fracture typically leads to profound functional disability and pain.

Cited by 70 publications

References 18 publications

Outcome of total hip arthroplasty as a salvage procedure for failed infected internal fixation of hip fractures

Outcome of total hip arthroplasty as a salvage procedure for failed infected internal fixation of hip fractures

The Lawrence D. Dorr Surgical Techniques & Technologies Award: Conversion Total Hip Arthroplasty: Is it a Primary or Revision Hip Arthroplasty

Salvage of failed hip osteosynthesis for fractures with modular hip prosthesis

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