title: The use of femoral intramedullary nailing as an interim or salvage technique during complicated total hip replacement.
abstract: When performing a revision total hip replacement complicated by infection, severe osteolysis, comminuted periprosthetic fracture, and/or extensive bone loss, a single-stage procedure may not be feasible. This study reports four cases of femoral intramedullary nailing as an interim or salvage technique during complicated total hip replacement. This reconstruction provides axial and rotational stability of the femur while maintaining femoral alignment. Furthermore, this reconstruction facilitates early mobilization and rehabilitation of the patient. This interim reconstruction can be converted to a revision total hip replacement at a later time. Alternatively, the stabilized resection arthroplasty may serve as a salvage technique if further reconstruction is not indicated.
authors.affiliation: Division of Orthopaedic Surgery, Stanford University Medical Center, California 94305-5341, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Hartford
authors.forename: S B
authors.initials: SB
authors.lastname: Goodman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000150:complications / Q000601:surgery; D005271:Femur Head Necrosis / Q000150:complications / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation* / Q000379:methods; D006618:Hip Dislocation, Congenital / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000150:complications / Q000601:surgery; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000150:complications / Q000628:therapy; D016879:Salvage Therapy