The Journal of arthroplasty
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The purpose of this study was to determine if TKA patients with pain between 60 and 120 days are more likely to be dissatisfied at mid-term follow-up. At the 60-120 day follow-up, moderate to severe movement-elicited pain (MEP) and pain at rest (PAR) were reported by 25/316 TKAs (7.9%) and 44/316 TKAs (13.9%), respectively. A greater proportion of those with MEP at 60-120 days were dissatisfied at midterm follow-up (24% vs. 6.5%, P = .01), and those with MEP early after surgery were 4.5 times more likely to be dissatisfied at mid-term follow-up (P = .004). Similarly, those with PAR 60-120 days after surgery were 4.1 times more likely to be dissatisfied at mid-term follow-up (P = .002).
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Thirty 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. ⋯ 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.