Management of failed trochanteric fracture fixation with cementless modular hip arthroplasty using a distally fixing stem.
Failure of internal fixation of intertrochanteric fractures is associated with delayed union or malunion resulting in persistent pain and diminished function. We evaluated 15 elderly patients treated with a tapered, fluted, modular, distally fixing cementless stem. At an average follow-up of 2.86 years, mean Harris hip score improved from 35.90 preoperatively to 83.01 (P < .01). Fourteen stems had stable bony on growth, and one stem was loose. Distal fixation with a tapered, fluted, modular cementless stem allows stable fixation with good functional outcome in a reproducible fashion in this challenging cohort of patients.
Thakur
Raman R
RR
Department of Orthopedic Surgery, Lenox Hill Hospital, NewYork, NY, USA.
Deshmukh
Ajit J
AJ
Goyal
Amrit
A
Ranawat
Amar S
AS
Rasquinha
Vijay J
VJ
Rodriguez
Jose A
JA
D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011859:Radiography; D012189:Retrospective Studies; D017211:Treatment Failure; D016896:Treatment Outcome