title: Anterior approach for total hip arthroplasty conversion of hip fusion.
abstract: Hip fusion conversion has shown mixed results, in particular a higher rate of failure than primary total hip replacement. Conversion is usually carried out by a lateral approach.
  
  
  
  We reported a series of 37 hip fusion conversions performed by an anterior approach. Clinical and radiographic outcomes of this unusual approach were reported at eight years of follow up.
  
  
  
  At eight years of follow up, survivorship was 86. 6 % (IC 95 %: 62.4-95.7 %). Sixteen patients reported good relief of the pre-operative back spine or knee pain. PMA score was significantly improved. Two implant aseptic loosenings needing revision surgery were reported.
  
  
  
  The anterior approach seemed to be as good as the other hip approaches for hip fusion conversion to total hip replacement.
authors.affiliation: Department of Reconstructive and Orthopaedic Surgery, Raymond Poincaré Hospital (AP-HP), Garches, France. scemamacaroline@gmail.com.
authors.forename: Caroline
authors.initials: C
authors.lastname: Scemama
authors.affiliation: Department of Reconstructive and Orthopaedic Surgery, Raymond Poincaré Hospital (AP-HP), Garches, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Lestrat
authors.affiliation: Department of Reconstructive and Orthopaedic Surgery, Raymond Poincaré Hospital (AP-HP), Garches, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Combourieu
authors.affiliation: Department of Reconstructive and Orthopaedic Surgery, Raymond Poincaré Hospital (AP-HP), Garches, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Judet
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D007717:Knee; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation
keywords: Anterior approach; Hip arthrodesis; Implant loosening; Total hip replacement