Total hip arthroplasty after prior surgical treatment of hip fracture is it always challenging?

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.

• Authors: S M Javad Mortazavi, Max R Greenky, Orhan Bican, Patrick Kane, Javad Parvizi, William J Hozack
• Journal: The Journal of arthroplasty (J Arthroplasty) Vol. 27 Issue 1 Pg. 31-6 (Jan 2012) ISSN: 1532-8406 [Electronic] United States
• PMID: 21798695 (Publication Type: Journal Article)
• Copyright: Copyright © 2012 Elsevier Inc. All rights reserved.

Topics

• Adult
• Aged
• Aged, 80 and over
• Arthroplasty, Replacement, Hip (adverse effects)
• Female
• Femoral Neck Fractures (surgery)
• Hip Fractures (surgery)
• Humans
• Male
• Middle Aged
• Postoperative Complications (epidemiology)
• Retrospective Studies