title: Long-stem revision prosthesis for salvage of failed fixation of extracapsular proximal femoral fractures.
abstract: A retrospective review was made of radiographs and case notes of patients with failed fixation of extracapsular proximal femoral fractures subsequently managed with long-stem revision arthroplasty. Follow-up radiographs, objective scoring, mobility, and complications were assessed. Twenty five hips were managed with long-stem hip arthroplasty in 24 patients with a mean age of 73 years. The mean follow-up was 24 months. Patients received uncemented acetabular components and long-stem uncemented femoral implants. Complications included two intraoperative femoral fractures which were strut-grafted, three wound infections (one required washout), and one recurrent dislocation managed conservatively. Average postoperative Oxford Hip score was 29. We report a low complication rate and no specific implant related problems, with good functional outcome as evidenced by the outcome scores and mobility status following salvage arthroplasty.
authors.affiliation: Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, United Kingdom.
authors.forename: Rory J
authors.initials: RJ
authors.lastname: Sharvill
authors.forename: Nicholas A
authors.initials: NA
authors.lastname: Ferran
authors.forename: Huw G
authors.initials: HG
authors.lastname: Jones
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Jones
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D017211:Treatment Failure