title: [Follow-up analysis of total hip endoprosthesis after femoral neck fracture with and without previous operation].
abstract: Damage occurring after joint-preserving surgical treatment of femoral neck--mostly femoral head necrosis of pseudoarthrosis-necessitates endoprosthetic joint replacement. In the case of inferior bone quality and unfavorable fracture forms as well as after failed conservative therapy, surgical treatment consists of implanting a total hip endoprosthesis. Between 1971 and 1989, 120 patients received total hip replacement after suffering fractures of the femoral neck: 61 patients did not have previous surgery, 59 patients had had joint-preserving surgery. Statistical analysis of the results showed that the primary stabilizing operation to preserve the joint did not have a negative influence on the survival probability of the total hip replacement in comparison with primary implantation. If the joint-preserving primary intervention fails, total hip replacement is a good choice for secondary surgery. In the case of complications such as femoral head necrosis or pseudoarthrosis the indication for total hip replacement should therefore be made early on.
authors.affiliation: Orthopädisches Spital Wien-Speising.
authors.forename: S
authors.initials: S
authors.lastname: Nehrer
authors.forename: F
authors.initials: F
authors.lastname: Menschik
authors.forename: G
authors.initials: G
authors.lastname: Schuh
authors.forename: K
authors.initials: K
authors.lastname: Knahr
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005271:Femur Head Necrosis / Q000601:surgery*; D005500:Follow-Up Studies; D005598:Fractures, Spontaneous / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D011542:Pseudarthrosis / Q000601:surgery*; D012086:Reoperation
vernacular_title: Verlaufsanalyse von Hüfttotalendoprothesen bei Zustand nach Schenkelhalsfraktur mit und ohne Voroperation.