Hip arthroplasty after failed fixation of trochanteric and subtrochanteric fractures.

Acta Orthopaedica
Anders EnocsonLasse J Lapidus

Abstract

Hip arthroplasty is an option for elderly patients with osteoporosis for the treatment of failure after fixation of trochanteric and subtrochanteric fractures, either as a total hip arthroplasty (THA) or as a hemiarthroplasty (HA). We analyzed the reoperation rate and risk factors for reoperation in a consecutive series of patients. All patients (n = 88) operated from 1999 to 2006 with a THA (n = 63) or an HA (n = 25) due to failure of fixation of a trochanteric fracture (n = 63) or subtrochanteric fracture (n = 25) were included. Background data were collected from the patient records. A search was performed in the national registry of the Swedish National Board of Health and Welfare in order to find information on all reoperations. The follow-up time was 5-11 years. The reoperation rate was 16% (14/88 hips). A periprosthetic fracture occurred in 6 patients, a deep prosthetic infection in 5 patients, and a dislocation of the prosthesis in 3 patients. Standard-length femoral stems had an increased risk of reoperation (11/47) compared to long stems (3/41) (HR = 4, 95% CI: 1.0-13; p = 0.06). The high reoperation rate reflects the complexity of the surgery. Using long femoral stems that bridge previous holes and defects may be one...Continue Reading

References

Jan 1, 1982·The Journal of Bone and Joint Surgery. British Volume·K Hardinge
May 3, 2003·The Journal of Bone and Joint Surgery. American Volume·George J Haidukewych, Daniel J Berry
Apr 7, 2004·The Journal of Arthroplasty·Bosong ZhangManyi Wang
Dec 4, 2004·Clinical Orthopaedics and Related Research·James P WaddellEmil H Schemitsch
Mar 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Kevin J BozicJonathan Showstack
May 1, 2009·Acta Orthopaedica·Anders EnocsonLasse J Lapidus
Feb 13, 2010·The Journal of Arthroplasty·Rüdiger J WeissAndré Stark
Oct 14, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·P BonnevialleUNKNOWN Trauma Surgery Academy (GETRAUM)

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Citations

Jan 25, 2017·Archives of Orthopaedic and Trauma Surgery·Tomonori TetsunagaToshifumi Ozaki
Jan 7, 2017·The Journal of Bone and Joint Surgery. American Volume·Eric SwartMadhav Karunakar
Dec 24, 2018·BMC Musculoskeletal Disorders·Sebastian LotzienJan Gessmann
Oct 3, 2020·JBJS Reviews·Michael J DeRogatisKenneth A Egol
Feb 20, 2019·Archives of Orthopaedic and Trauma Surgery·Ruben ScholtenJob L C van Susante
Oct 7, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Osman ÇiloğluTimur Ekiz
Feb 17, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·O PearceA Riddick
Apr 26, 2021·BMC Musculoskeletal Disorders·Sheng-Yu JinKyung-Soon Park

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

PASW Statistics

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