title: Total hip arthroplasty after previous fracture surgery.
abstract: Total hip arthroplasty can be a very effective salvage treatment for both failed fracture surgery and hip arthritis that may occur after prior fracture surgery. The rate of complications is significantly increased including especially infection, dislocation, and loosening. Complications are more likely to occur after failed open reduction and internal fixation than after posttraumatic arthritis. Adequately ruling out infection before hip arthroplasty can be difficult. The best predictor of infection is a prior infection. Long-term outcomes can be comparable to outcomes in other conditions if complications are avoided.
authors.affiliation: Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, 6th Floor, New Orleans, LA 70112, USA. Electronic address: pckrause@mac.com.
authors.forename: Peter C
authors.initials: PC
authors.lastname: Krause
authors.affiliation: Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, 6th Floor, New Orleans, LA 70112, USA.
authors.forename: Jared L
authors.initials: JL
authors.lastname: Braud
authors.affiliation: Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, 6th Floor, New Orleans, LA 70112, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: Whatley
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000009:adverse effects*; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D015207:Osteoarthritis, Hip / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications; D012086:Reoperation
keywords: Acetabular fracture; Failed fracture fixation; Femoral neck fracture; Hip fracture; Intertrochanteric fracture; Posttraumatic arthritis; Total hip arthroplasty