Conversion from a failed proximal femoral nail anti-rotation to a cemented or uncemented total hip arthroplasty device: a retrospective review of 198 hips with previous intertrochanteric femur fractures
Abstract Background At present, it is unclear which device (uncemented or cemented total hip arthroplasty [UTA or CTA, respectively]) is more suitable for the conversion of a failed proximal femoral nail anti-rotation (PFNA). The aim of this review was to assess the outcomes of failed PFNAs converte...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-020-03806-0 |
| _version_ | 1818928892535111680 |
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| author | Weiguang Yu Xiulan Han Wenli Chen Shuai Mao Mingdong Zhao Xinchao Zhang Guowei Han Junxing Ye Meiji Chen Jintao Zhuang |
| author_facet | Weiguang Yu Xiulan Han Wenli Chen Shuai Mao Mingdong Zhao Xinchao Zhang Guowei Han Junxing Ye Meiji Chen Jintao Zhuang |
| author_sort | Weiguang Yu |
| collection | DOAJ |
| description | Abstract Background At present, it is unclear which device (uncemented or cemented total hip arthroplasty [UTA or CTA, respectively]) is more suitable for the conversion of a failed proximal femoral nail anti-rotation (PFNA). The aim of this review was to assess the outcomes of failed PFNAs converted to a UTA or CTA device in elderly individuals with intertrochanteric femoral fractures (IFFs). Methods Two hundred fifty-eight elderly individuals (258 hips) with IFFs who underwent a conversion to a UTA or CTA device following failed PFNAs during 2007–2017 were retrospectively identified from the China Southern Medical Centre (CSMC) database. The primary endpoint was the Harris Hip Score (HHS); secondary endpoint was the key orthopaedic complication rate. Results The median follow-up was 65 months (60–69 months). Significant distinctions were observed (87.26 ± 16.62 for UTA vs. 89.32 ± 16.08 for CTA, p = 0.021; 86.61 ± 12.24 for symptomatic UTA vs. 88.68 ± 13.30 for symptomatic CTA, p = 0.026). A significant difference in the overall key orthopaedic complication rate was detected (40.8% [40/98] vs. 19.0% [19/100], p = 0.001). Apparent distinctions were detected in terms of the rate of revision, loosening, and periprosthetic fracture (11.2% for UTA vs 3.0% for CTA, p = 0.025; 13.2% for UTA vs 5.0% for CTA, p = 0.043; 10.2% for UTA vs 3.0% for CTA, p = 0.041, respectively). Conclusion For elderly individuals with IFFs who suffered a failed PFNA, CTA devices may have a noteworthy advantage in regard to the revision rate and the rate of key orthopaedic complications compared with UTA devices, and CTA revision should be performed as soon as possible, regardless of whether these individuals have symptoms. |
| first_indexed | 2024-12-20T03:36:08Z |
| format | Article |
| id | doaj.art-7fcffa9e5af64eb7bd1320282bc1eba7 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-20T03:36:08Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-7fcffa9e5af64eb7bd1320282bc1eba72022-12-21T19:54:53ZengBMCBMC Musculoskeletal Disorders1471-24742020-11-012111910.1186/s12891-020-03806-0Conversion from a failed proximal femoral nail anti-rotation to a cemented or uncemented total hip arthroplasty device: a retrospective review of 198 hips with previous intertrochanteric femur fracturesWeiguang Yu0Xiulan Han1Wenli Chen2Shuai Mao3Mingdong Zhao4Xinchao Zhang5Guowei Han6Junxing Ye7Meiji Chen8Jintao Zhuang9Department of Orthopaedics, The First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Rehabilitation, The First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Neurosurgery, The First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Hepatobiliary Surgery, The First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Orthopaedics, Jinshan Hospital, Fudan UniversityDepartment of Orthopaedics, Jinshan Hospital, Fudan UniversityDepartment of Orthopaedics, The First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Orthopaedics, The Affiliated Hospital of Jiangnan UniversityDepartment of Pediatrics, The First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Urology, The First Affiliated Hospital, Sun Yat-sen UniversityAbstract Background At present, it is unclear which device (uncemented or cemented total hip arthroplasty [UTA or CTA, respectively]) is more suitable for the conversion of a failed proximal femoral nail anti-rotation (PFNA). The aim of this review was to assess the outcomes of failed PFNAs converted to a UTA or CTA device in elderly individuals with intertrochanteric femoral fractures (IFFs). Methods Two hundred fifty-eight elderly individuals (258 hips) with IFFs who underwent a conversion to a UTA or CTA device following failed PFNAs during 2007–2017 were retrospectively identified from the China Southern Medical Centre (CSMC) database. The primary endpoint was the Harris Hip Score (HHS); secondary endpoint was the key orthopaedic complication rate. Results The median follow-up was 65 months (60–69 months). Significant distinctions were observed (87.26 ± 16.62 for UTA vs. 89.32 ± 16.08 for CTA, p = 0.021; 86.61 ± 12.24 for symptomatic UTA vs. 88.68 ± 13.30 for symptomatic CTA, p = 0.026). A significant difference in the overall key orthopaedic complication rate was detected (40.8% [40/98] vs. 19.0% [19/100], p = 0.001). Apparent distinctions were detected in terms of the rate of revision, loosening, and periprosthetic fracture (11.2% for UTA vs 3.0% for CTA, p = 0.025; 13.2% for UTA vs 5.0% for CTA, p = 0.043; 10.2% for UTA vs 3.0% for CTA, p = 0.041, respectively). Conclusion For elderly individuals with IFFs who suffered a failed PFNA, CTA devices may have a noteworthy advantage in regard to the revision rate and the rate of key orthopaedic complications compared with UTA devices, and CTA revision should be performed as soon as possible, regardless of whether these individuals have symptoms.https://doi.org/10.1186/s12891-020-03806-0FailureRevisionComplicationOutcomeTotal hip arthroplasty. Cemented |
| spellingShingle | Weiguang Yu Xiulan Han Wenli Chen Shuai Mao Mingdong Zhao Xinchao Zhang Guowei Han Junxing Ye Meiji Chen Jintao Zhuang Conversion from a failed proximal femoral nail anti-rotation to a cemented or uncemented total hip arthroplasty device: a retrospective review of 198 hips with previous intertrochanteric femur fractures BMC Musculoskeletal Disorders Failure Revision Complication Outcome Total hip arthroplasty. Cemented |
| title | Conversion from a failed proximal femoral nail anti-rotation to a cemented or uncemented total hip arthroplasty device: a retrospective review of 198 hips with previous intertrochanteric femur fractures |
| title_full | Conversion from a failed proximal femoral nail anti-rotation to a cemented or uncemented total hip arthroplasty device: a retrospective review of 198 hips with previous intertrochanteric femur fractures |
| title_fullStr | Conversion from a failed proximal femoral nail anti-rotation to a cemented or uncemented total hip arthroplasty device: a retrospective review of 198 hips with previous intertrochanteric femur fractures |
| title_full_unstemmed | Conversion from a failed proximal femoral nail anti-rotation to a cemented or uncemented total hip arthroplasty device: a retrospective review of 198 hips with previous intertrochanteric femur fractures |
| title_short | Conversion from a failed proximal femoral nail anti-rotation to a cemented or uncemented total hip arthroplasty device: a retrospective review of 198 hips with previous intertrochanteric femur fractures |
| title_sort | conversion from a failed proximal femoral nail anti rotation to a cemented or uncemented total hip arthroplasty device a retrospective review of 198 hips with previous intertrochanteric femur fractures |
| topic | Failure Revision Complication Outcome Total hip arthroplasty. Cemented |
| url | https://doi.org/10.1186/s12891-020-03806-0 |
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