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[Conversion total hip replacement after failed internal fixation of intertrochantric fracture]
Harefuah
|July 26, 2000
Summary
Conversion total hip replacement after failed intertrochanteric fracture fixation yields poor results. Surgeons should be aware of the high complication rates and unsatisfactory outcomes compared to primary hip replacement.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Context:
- Internal fixation of intertrochanteric fractures can fail.
- Conversion surgery is sometimes necessary.
Purpose:
- To evaluate the clinical outcomes of conversion total hip replacement following failed intertrochanteric fracture fixation.
Summary:
- A retrospective review of 16 patients who underwent conversion total hip replacement after failed internal fixation of intertrochanteric fractures between 1933-1995.
- Clinical results were unsatisfactory compared to primary total hip replacement.
- High rates of intraoperative and postoperative complications were observed, including femoral fracture, infection, and aseptic loosening.
Impact:
- This study highlights the significant challenges and poor outcomes associated with converting failed intertrochanteric fracture fixation to total hip replacement.
- Findings aim to increase surgeon awareness regarding the difficulties and risks involved in such complex revision procedures.