Total Hip Arthroplasty after Failed Internal Fixation of Neck Femur Fracture: Analysis of 12 Cases
| Autor: | Mohamed Mansour Elzohairy, Ahmed Mohammed Fathy Atia, Elsayed El-Etewy Soudy, Khaled M. Hassan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
030222 orthopedics medicine.medical_specialty Femur fracture business.industry medicine.medical_treatment musculoskeletal system Surgery law.invention Intramedullary rod 03 medical and health sciences surgical procedures operative 0302 clinical medicine law Radiological weapon Fracture fixation medicine Internal fixation 030212 general & internal medicine Implant Prospective cohort study business Fixation (histology) |
| Zdroj: | The Egyptian Journal of Hospital Medicine. 81:2429-2432 |
| ISSN: | 2090-7125 |
| DOI: | 10.21608/ejhm.2020.133958 |
| Popis: | Background: There are different indications for total hip arthroplasty (THA) after failed internal fixation of neck femur fracture. This led us to carry out a prospective study of the clinical outcomes, radiological outcomes, technical issues and complications of this procedure. Objective: To evaluate the clinical and radiological outcome of total hip arthroplasty after failed internal fixation of neck femur fracture, along with the technical difficulties and complications encountered. Patients and methods: This was a prospective, single-center study of 12 THA cases performed after internal fixation of neck femur fracture. These procedures were performed between 2017 and 2019 in 12 patients (5 men, 7 women). The initial fracture fixation involved a screw-plate (n = 1), intramedullary nail (n = 2) or screws (n = 9). The mean patient age at the time of THA was 50 years [38–72]. The THA was performed an average of 2.8 years [0.2–28] after the fracture. The lateral (Modified Hardinge) hip approach was used in all cases. 3 patients (25%) had the fixation hardware removed before the THA procedure. During the THA procedure, a cemented stem was used in 4 cases (33.3%) and a cement less stem in 8 cases (66.7%). A cement less press-fit cup was used in all cases. Results: No patients were lost to follow-up. Two patients suffered an intraoperative femur fracture (16.7%) and one suffered a dislocation (8.3%). One hip had to be reoperated (8.3%) and required an implant change. With a mean follow-up of 36 months [12–48], the mean modified Harris hip score was 78.2 ± 4.4 [35-91]. Conclusion: THA is a satisfactory salvage procedure after failed internal fixation of neck femur fracture. |
| Databáze: | OpenAIRE |
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