Diaphyseal locking hip arthroplasty for treatment of failed fixation of intertrochanteric hip fractures.
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.
Chen
Yi-Te
YT
Department of Orthopedics and Traumatology, Shin Kong Wu Ho-Su Memorial Hospital, and Department of Surgery, National Yang-Ming University, Taipei, Taiwan.
Chen
Wei-Ming
WM
Lee
Kung-Sheng
KS
Huang
Ching-Kuei
CK
Chiang
Chao-Ching
CC
Chen
Tain-Hsiung
TH
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