Outcome of proximal femur replacement in failed internal fixation of hip fractures, a case series
| Autor: | Shah Fahad, Younus Durrani, Mujahid Jamil, Masood Umer, Zohaib Nawaz, Pervaiz Hashmi |
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| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Hip fracture business.industry medicine.medical_treatment Case Report Implant Infection General Medicine medicine.disease Surgery Sepsis 03 medical and health sciences 0302 clinical medicine Harris Hip Score 030220 oncology & carcinogenesis Medicine Internal fixation 030211 gastroenterology & hepatology Implant Myocardial infarction business Reduction (orthopedic surgery) |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2020.04.019 |
| Popis: | Introduction Failure of hip implant surgeries can be caused by various factors. Failure of internal fixation results in pain and restricted ambulation. In management of an elderly patient with hip fractures, the aim is to ambulate patient. The purpose of our study is to assess the outcomes of proximal femur replacement in the management of failed hip surgeries for fractures of the proximal femur. Materials and methods A retrospective analysis of 26 patients, who underwent proximal femur replacement for failed surgeries of hip fracture during the period from April 2011 to March 2018, was conducted. All patients who underwent proximal femur replacement for failed hip implants were enrolled into the study. Results Total patients were 26. The mean follow was (12–91 months). The mean Harris Hip score improved from 26 preoperative to 66.7(45–91). Three patients developed dislocations which were managed with closed reduction. Three patients died within one year of surgery, one patent died of sepsis from implant infection at four months after surgery, one patient died of Myocardial infarction. Three patients developed surgical site infection of which one has superficial surgical site infection which was managed with oral antibiotics, in other case developed deep surgical site infection and was managed with wound debridement and IV antibiotics for 6 weeks, in third wound debridement was done but patient died of sepsis. Conclusion Proximal femur replacement with modular stem implant has advantages over conventional hip implant in patients undergoing surgery after failure of internal fixation. Highlights • Failure of hip implant surgeries can be caused by various factors. • In management of an elderly patient with hip fractures, the aim is to ambulate patient. • Proximal femur replacement with modular stem implant has advantages over conventional hip implant. |
| Databáze: | OpenAIRE |
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