title: Total Hip Arthroplasty Using Non-Modular Cementless Long-Stem Distal Fixation for Salvage of Failed Internal Fixation of Intertrochanteric Fracture.
abstract: Thirty one patients were treated with salvage total hip arthroplasty (THA) for failed internal fixation of intertrochanteric fracture. After a mean follow-up of 47.5 months, all patients reported remarkable pain relief and return to ambulation. Twenty five patients had no pain, and 6 patients complained of residual trochanteric low-grade pain without compromise of activities. The Harris Hip score increased from a preoperative average of 28.4 points to a postoperative average of 85.6 points. All patients demonstrated successful bony union and five had Brooker I or II heterotopic ossification. Seven patients had intraoperative or early complications and were treated successfully. There was no infection, re-fracture, loosening, or revision for any reason. Salvage THA using non-modular cementless long-stem prosthesis represents an effective procedure after failed intertrochanteric fixation.
authors.affiliation: Orthopedic Department, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Xiaojun
authors.initials: X
authors.lastname: Shi
authors.affiliation: Orthopedic Department, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Zongke
authors.initials: Z
authors.lastname: Zhou
authors.affiliation: Orthopedic Department, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Yang
authors.affiliation: Orthopedic Department, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Shen
authors.affiliation: Orthopedic Department, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Pengde
authors.initials: P
authors.lastname: Kang
authors.affiliation: Orthopedic Department, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Fuxing
authors.initials: F
authors.lastname: Pei
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D002681:China / Q000453:epidemiology; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic; D010149:Postoperative Pain / Q000453:epidemiology; D011184:Postoperative Period; D011859:Radiography; D012086:Reoperation / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016879:Salvage Therapy / Q000379:methods; D016138:Walking
keywords: internal fixation failure; intertrochanteric fracture; non-modular stem; nonunion; total hip arthroplasty