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Total hip replacement after failed hemiarthroplasty.

S Suominen1

  • 1Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1989
PubMed
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Total hip replacement (THR) after failed hemiarthroplasty (HA) showed mixed results, with 24/37 patients satisfied. THR is recommended for acute subcapital femoral fractures in active elderly patients.

Area of Science:

  • Orthopedic Surgery
  • Arthroplasty Research

Background:

  • Hemiarthroplasty (HA) is a common treatment for hip fractures, but failure can necessitate further intervention.
  • Revision surgery following HA presents unique challenges and variable outcomes.

Purpose of the Study:

  • To evaluate the outcomes of total hip replacement (THR) as a revision procedure after failed hemiarthroplasty (HA).
  • To assess the efficacy of THR in treating acute subcapital femoral fractures in elderly, active patients.

Main Methods:

  • Retrospective follow-up study of 37 patients who underwent THR after HA.
  • Analysis of patient demographics, follow-up duration, clinical outcomes (Mayo/Harris hip scores), and radiological findings.

Main Results:

  • Twenty-four patients (65%) reported satisfactory results after a mean follow-up of 4.8 years post-THR.

Related Experiment Videos

  • Mean Mayo/Harris hip scores were 76/76. Radiologically, 13 patients showed signs of component loosening.
  • Outcomes were poorer in cases with prior complicated subcapital femoral fractures.

    • Conclusions:

    • Total hip replacement (THR) can provide satisfactory outcomes in select cases following hemiarthroplasty (HA) failure.
    • THR may be a viable primary option for acute subcapital femoral fractures in active elderly individuals, despite potential revision needs.