• Xiaojun Shi, Zongke Zhou, Jing Yang, Bin Shen, Pengde Kang, and Fuxing Pei.
• Orthopedic Department, West China Hospital, Sichuan University, Chengdu, China.
• J Arthroplasty. 2015 Nov 1; 30 (11): 1999-2003.

AbstractThirty one patients were treated with salvage total hip arthroplasty (THA) for failed internal fixation of intertrochanteric fracture. After a mean follow-up of 47.5 months, all patients reported remarkable pain relief and return to ambulation. Twenty five patients had no pain, and 6 patients complained of residual trochanteric low-grade pain without compromise of activities. The Harris Hip score increased from a preoperative average of 28.4 points to a postoperative average of 85.6 points. All patients demonstrated successful bony union and five had Brooker I or II heterotopic ossification. Seven patients had intraoperative or early complications and were treated successfully. There was no infection, re-fracture, loosening, or revision for any reason. Salvage THA using non-modular cementless long-stem prosthesis represents an effective procedure after failed intertrochanteric fixation.Copyright © 2015 Elsevier Inc. All rights reserved.

42 keywords...

hide…