Hip salvage by proximal femoral replacement.
Total hip arthroplasty with a special segmental replacement of the proximal end of the femur which varied in length from eighty to 150 millimeters was performed in twenty-one patients who had severe non-neoplastic conditions of the proximal part of the femur that necessitated salvage. Ten patients had previously failed arthroplasties associated with loss of bone structure; seven had non-union of a proximal femoral fracture or osteotomy associated with severe hip disease; there had a failed resection arthroplasty; and one had an arthrodesis and incapacitating low-back pain. Clinical and roentgenographic data during follow-up of twenty-five to ninety-two months showed that only one patient had loosening of the acetabular component. In twenty of the twenty-one patients, total hip arthroplasty with proximal femoral replacement was effective in restoring the integrity of the bone and restoring function of the hip.
D000328:Adult; D000368:Aged; D001847:Bone Diseases / Q000601:surgery; D005260:Female; D005264:Femoral Fractures / Q000209:etiology / Q000601:surgery; D006615:Hip / Q000000981:diagnostic imaging; D006617:Hip Dislocation / Q000209:etiology; D006622:Hip Prosthesis / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013530:Surgical Wound Infection / Q000209:etiology