Rescue of failed inter and subtrochanteric osteosynthesis with a joint replacement. Technique and results of a series of 61 cases.
Introduction The aim of the present study was revise the technical issues of hip arthroplasty after a failed proximal femur fixation as well as evaluate the results and complication associated with this procedure. Materials and Method We performed 61 hip arthroplasty after a failed intertrochant...
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| Format: | Article |
| Language: | English |
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Asociación Argentina de Ortopedia y Traumatología
2018-05-01
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| Series: | Revista de la Asociación Argentina de Ortopedia y Traumatología |
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| Online Access: | https://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/792 |
| _version_ | 1797425309375528960 |
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| author | Fernando Bidolegui Sebastian Pereira Gabriel Vindver |
| author_facet | Fernando Bidolegui Sebastian Pereira Gabriel Vindver |
| author_sort | Fernando Bidolegui |
| collection | DOAJ |
| description | Introduction
The aim of the present study was revise the technical issues of hip arthroplasty after a failed proximal femur fixation as well as evaluate the results and complication associated with this procedure.
Materials and Method
We performed 61 hip arthroplasty after a failed intertrochanteric or subrtochanteric fixation. The average age was 76 years (range, 50 to 93 years). Thirty-four (56%) was originally treated with dinamic hip screw (DHS), eight (13%) with dinamic condilar screw (DCS), two (3%) with Ender nail and seventeen (28%) with proximal femoral nail. Fifty-five (90%) patients were treated with total hip arthroplasty and six (10%) with hemiatrhroplasty. In seventeen (28%) patients we used uncemented stem and in forty-four (72%) cemented stem. In 12 patients we used a standar lenght stem and in 49 a long-stem.
Results
At the time of fisrt year of follow up the HHS impoved from 47 ( range, 32 to 54) to 84 (range, 67 to 93). Seven patients (11.5%) had complications. Three (4.9%) had periprosthetic femoral fracture, two (3.2%) had dislocation, one (1.6%) developed a wound hematoma and one (1.6%) a deep infection.
Conclusion
The hip arthroplasty after a failed fixation of a trochanteric or subtrochanteric fractures is a relaiable method in selected cases. Most of them achived good results in terms of pain relief an functional outcomes. However, is technically challenging and is associated with more complications than a primary hip repleacement.
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| first_indexed | 2024-03-09T08:14:19Z |
| format | Article |
| id | doaj.art-ffcae3d7cff5480aafcc7b54c428eef9 |
| institution | Directory Open Access Journal |
| issn | 1515-1786 1852-7434 |
| language | English |
| last_indexed | 2024-03-09T08:14:19Z |
| publishDate | 2018-05-01 |
| publisher | Asociación Argentina de Ortopedia y Traumatología |
| record_format | Article |
| series | Revista de la Asociación Argentina de Ortopedia y Traumatología |
| spelling | doaj.art-ffcae3d7cff5480aafcc7b54c428eef92023-12-02T22:56:04ZengAsociación Argentina de Ortopedia y TraumatologíaRevista de la Asociación Argentina de Ortopedia y Traumatología1515-17861852-74342018-05-01832859310.15417/issn.1852-7434.2018.83.2.792356Rescue of failed inter and subtrochanteric osteosynthesis with a joint replacement. Technique and results of a series of 61 cases.Fernando Bidolegui0Sebastian Pereira1Gabriel Vindver2Hospital Sirio-LibanesHospital Sirio-LibanesHospital Sirio-LibanesIntroduction The aim of the present study was revise the technical issues of hip arthroplasty after a failed proximal femur fixation as well as evaluate the results and complication associated with this procedure. Materials and Method We performed 61 hip arthroplasty after a failed intertrochanteric or subrtochanteric fixation. The average age was 76 years (range, 50 to 93 years). Thirty-four (56%) was originally treated with dinamic hip screw (DHS), eight (13%) with dinamic condilar screw (DCS), two (3%) with Ender nail and seventeen (28%) with proximal femoral nail. Fifty-five (90%) patients were treated with total hip arthroplasty and six (10%) with hemiatrhroplasty. In seventeen (28%) patients we used uncemented stem and in forty-four (72%) cemented stem. In 12 patients we used a standar lenght stem and in 49 a long-stem. Results At the time of fisrt year of follow up the HHS impoved from 47 ( range, 32 to 54) to 84 (range, 67 to 93). Seven patients (11.5%) had complications. Three (4.9%) had periprosthetic femoral fracture, two (3.2%) had dislocation, one (1.6%) developed a wound hematoma and one (1.6%) a deep infection. Conclusion The hip arthroplasty after a failed fixation of a trochanteric or subtrochanteric fractures is a relaiable method in selected cases. Most of them achived good results in terms of pain relief an functional outcomes. However, is technically challenging and is associated with more complications than a primary hip repleacement. Key words:https://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/792Fracaso de osteosíntesisFémur proximalArtroplastia de caderaFailed osteosynthesisproximal femurhip arthroplasty.. |
| spellingShingle | Fernando Bidolegui Sebastian Pereira Gabriel Vindver Rescue of failed inter and subtrochanteric osteosynthesis with a joint replacement. Technique and results of a series of 61 cases. Revista de la Asociación Argentina de Ortopedia y Traumatología Fracaso de osteosíntesis Fémur proximal Artroplastia de caderaFailed osteosynthesis proximal femur hip arthroplasty.. |
| title | Rescue of failed inter and subtrochanteric osteosynthesis with a joint replacement. Technique and results of a series of 61 cases. |
| title_full | Rescue of failed inter and subtrochanteric osteosynthesis with a joint replacement. Technique and results of a series of 61 cases. |
| title_fullStr | Rescue of failed inter and subtrochanteric osteosynthesis with a joint replacement. Technique and results of a series of 61 cases. |
| title_full_unstemmed | Rescue of failed inter and subtrochanteric osteosynthesis with a joint replacement. Technique and results of a series of 61 cases. |
| title_short | Rescue of failed inter and subtrochanteric osteosynthesis with a joint replacement. Technique and results of a series of 61 cases. |
| title_sort | rescue of failed inter and subtrochanteric osteosynthesis with a joint replacement technique and results of a series of 61 cases |
| topic | Fracaso de osteosíntesis Fémur proximal Artroplastia de caderaFailed osteosynthesis proximal femur hip arthroplasty.. |
| url | https://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/792 |
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