Hip arthroplasty for failed treatment of proximal femoral fractures

被引:93
作者
D'Arrigo, Carmelo [1 ]
Perugia, Dario [1 ]
Carcangiu, Alessandro [1 ]
Monaco, Edoardo [1 ]
Speranza, Attilio [1 ]
Ferretti, Andrea [1 ]
机构
[1] Univ Roma La Sapienza, S Andrea Hosp, Orthopaed Unit, Sch Med, Rome, Italy
关键词
INTERNAL-FIXATION; SALVAGE; FEMUR;
D O I
10.1007/s00264-009-0834-x
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Failed treatment of an intertrochanteric fracture typically leads to profound functional disability and pain. Salvage treatment with hip arthroplasty may be considered. The aim of this study was to evaluate the results and complications of hip arthroplasty performed as a salvage procedure after the failed treatment of an intertrochanteric hip fracture. Twenty-one patients were treated in our hospital with hip arthroplasty for failed treatment of intertrochanteric hip fracture. There were sixteen women and five men with a mean age of 75.8 years (range 61-85 years). Fourteen patients had failure of a previous nail fixation procedure, five had failure of a plate fixation, one of hip screws fixation and one of Ender nail fixation. In 19 out of 21 patients we performed a total hip arthroplasty-14 cases used modular implants with long-stems and five cases used a standard straight stem. In 2 of 21 cases we used a bipolar hemiarthroplasty. A statistically significant improvement was found comparing pre and postoperative conditions (p < 0.05). Our experience confirms that total hip arthroplasty is a satisfactory salvage procedure after failed treatment of an intertrochanteric fracture in elderly patients with few serious orthopaedic complications and acceptable clinical outcomes.
引用
收藏
页码:939 / 942
页数:4
相关论文
共 19 条
[1]
Nail or plate fixation of intertrochanteric hip fractures: Changing pattern of practice [J].
Anglen, Jeffrey O. ;
Weinstein, James N. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2008, 90A (04) :700-707
[2]
ECTOPIC OSSIFICATION FOLLOWING TOTAL HIP-REPLACEMENT - INCIDENCE AND A METHOD OF CLASSIFICATION [J].
BROOKER, AF ;
BOWERMAN, JW ;
ROBINSON, RA ;
RILEY, LH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (08) :1629-1632
[3]
Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures [J].
Haidukewych, GJ ;
Berry, DJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (05) :899-904
[4]
THE DIRECT LATERAL APPROACH TO THE HIP [J].
HARDINGE, K .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1982, 64 (01) :17-19
[5]
HENTJENS P, 1994, ACTA ORTHOP TRAUMA S, V113, P222
[6]
JEFFREY O, 2008, J BONE JOINT SURG AM, V90, P700
[7]
FRACTURES OF THE PROXIMAL PART OF THE FEMUR [J].
KYLE, RF ;
CABANELA, ME ;
RUSSELL, TA ;
SWIONTKOWSKI, MF ;
WINQUIST, RA ;
ZUCKERMAN, JD ;
SCHMIDT, AH ;
KOVAL, KJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1994, 76A (06) :924-950
[8]
Osteoporotic pertrochanteric hip fractures - Management and current controversies [J].
Lorich, DG ;
Geller, DS ;
Nielson, JH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (02) :398-410
[9]
OUTCOMES AFTER DISPLACED FRACTURES OF THE FEMORAL-NECK - A METAANALYSIS OF 106 PUBLISHED REPORTS [J].
LUYAO, GL ;
KELLER, RB ;
LITTENBERG, B ;
WENNBERG, JE .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1994, 76A (01) :15-25
[10]
Treatment of displaced intracapsular hip fractures with total hip arthroplasty: Comparison of primary arthroplasty with early salvage arthroplasty after failed internal fixation [J].
McKinley, JC ;
Robinson, CM .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (11) :2010-2015