title: [Hip arthroplasty with conventional stem as rescue treatment after failed treatment of intertrochanteric hip fractures].
abstract: OBJECTIVE
  The purpose of this study is to evaluate the results and complications of hip arthroplasty with conventional stem performed as a salvage procedure after the failed treatment of an intertrochanteric hip fracture.
  
  
  METHODS
  Between 1997 and 2011, 17 patients with a mean age of 76 years were treated with hip arthroplasty for failed treatment of intertrochanteric hip fracture. In all cases a conventional stem was used. The mean follow-up was 6 years (range 1-14 years). Pain, range of motion (Merle d'Aubigné) and functional results (Barthel), as well as implant fixation (Harris and Engh), were evaluated during the follow-up.
  
  
  RESULTS
  Except for one case of death (6%) and one case of infection (Girdlestone arthroplasty), all patients were able to walk independently at 6 months. The majority of the patients (87%) had no or mild pain. After 2 surgeries (osteosynthesis and hip arthroplasty) the mean Barthel Score had decreased from 81 to 66 points. Just one case (6%) of stem loosening has been observed.
  
  
  CONCLUSIONS
  In older patients, prosthetic replacement after failed proximal femoral fixation is a reliable salvage option. Most patients have good pain relief and functional improvement, although the rate of perioperative medical complications is high. Surgery is less demanding and the operating time is shorter when conventional femoral stems are used.
authors.affiliation: Servei de Cirurgia Ortopèdica i Traumatologia, Hospital Universitari Mutua Terrassa, Spain. motorroja@hotmail.com
authors.forename: P
authors.initials: P
authors.lastname: Castillón
authors.forename: A
authors.initials: A
authors.lastname: Bartra
authors.forename: G
authors.initials: G
authors.lastname: Vallejo
authors.forename: J
authors.initials: J
authors.lastname: Salvador
authors.forename: R
authors.initials: R
authors.lastname: Torres
authors.forename: F
authors.initials: F
authors.lastname: Anglés
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006620:Hip Fractures / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012086:Reoperation; D012189:Retrospective Studies; D017211:Treatment Failure