title: Total hip arthroplasty after prior surgical treatment of hip fracture is it always challenging?
abstract: Salvage total hip arthroplasty (THA) presents a viable solution for failed open reduction internal fixation. This study compares salvage THA in patients with prior femoral neck fractures vs patients with prior intertrochanteric fractures. One hundred fifty-four hips in 152 patients underwent conversion from open reduction internal fixation to THA. Eighty-three patients had previous femoral neck fractures, and 69 patients (71 hips) had prior intertrochanteric fractures. Salvage THA in patients with prior intertrochanteric fractures presented a more technically demanding procedure with longer operative times and larger amounts of blood loss. Although conversion THA presents a technically challenging procedure, it is safe and yields relatively few orthopedic complications.
authors.affiliation: Rothman Institute of Orthopedics at Thomas Jefferson University,Philadelphia, Pennsylvania 19107, USA.
authors.forename: S M Javad
authors.initials: SM
authors.lastname: Mortazavi
authors.forename: Max
authors.initials: M
authors.lastname: R Greenky
authors.forename: Orhan
authors.initials: O
authors.lastname: Bican
authors.forename: Patrick
authors.initials: P
authors.lastname: Kane
authors.forename: Javad
authors.initials: J
authors.lastname: Parvizi
authors.forename: William J
authors.initials: WJ
authors.lastname: Hozack
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies