Thompson hemiarthroplasty through a trochanteric osteotomy approach.
The case histories and radiographs of 100 patients treated with a cemented Thompson prosthesis for displaced subcapital fracture were reviewed. All had been operated on through a lateral approach to the hip joint, combined with trochanteric osteotomy. Twenty patients had an unsound trochanteric reattachment at follow-up; only six were symptomatic. There were no cases of proximal femoral fracture or perforation, and only one dislocation. Infection rate and para-articular ossification did not occur more frequently than in other series.
D000368:Aged; D005260:Female; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis; D006801:Humans; D004204:Joint Dislocations / Q000150:complications; D008297:Male; D008722:Methods; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications; D010027:Osteotomy; D011183:Postoperative Complications; D011859:Radiography