title: Diaphyseal locking hip arthroplasty for treatment of failed fixation of intertrochanteric hip fractures.
abstract: Between 1997 and 2004, 18 patients (8 men and 10 women, with a mean age of 73.2 years) with failed treatment of intertrochanteric hip fractures underwent hip arthroplasty as salvage procedures at our institution. Cementless, 5/8-porous coated, 6-in. primary diaphyseal locking femoral stems were used. Prospective follow-up ranging from 2 to 5 years (mean, 37.1 months) showed improvement of hip function without prosthesis loosening. Complications included 1 case of postoperative infection, 2 cases of dislocation, and 2 cases of stem subsidence. The clinical results were satisfactory. The 5/8-porous coated, 6-in. cementless femoral stems could be used in the salvage procedures for failed fixation of intertrochanteric hip fractures.
authors.affiliation: Department of Orthopedics and Traumatology, Shin Kong Wu Ho-Su Memorial Hospital, and Department of Surgery, National Yang-Ming University, Taipei, Taiwan.
authors.forename: Yi-Te
authors.initials: YT
authors.lastname: Chen
authors.forename: Wei-Ming
authors.initials: WM
authors.lastname: Chen
authors.forename: Kung-Sheng
authors.initials: KS
authors.lastname: Lee
authors.forename: Ching-Kuei
authors.initials: CK
authors.lastname: Huang
authors.forename: Chao-Ching
authors.initials: CC
authors.lastname: Chiang
authors.forename: Tain-Hsiung
authors.initials: TH
authors.lastname: Chen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005592:Fracture Fixation; D006620:Hip Fractures / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D012086:Reoperation