Total hip arthroplasty for intertrochanteric fracture fixation failure
Liyun Liu1,2, Yongqiang Sun2, Linlin Wang2
1School of Medicine, Henan University, Kaifeng, 475004, Henan, People's Republic of China.
European Journal of Medical Research
|December 29, 2019
Summary
Total hip arthroplasty (THA) effectively treats elderly patients with failed intertrochanteric fracture fixation. This salvage procedure significantly improves hip pain and restores joint function, showing satisfactory early clinical outcomes.
Area of Science:
- Orthopedic Surgery
- Geriatric Medicine
- Traumatology
Background:
- Intertrochanteric fractures are common in the elderly.
- Total hip arthroplasty (THA) is a salvage option for fixation failure.
- THA for this indication presents potential clinical challenges.
Purpose of the Study:
- To evaluate the efficacy of THA as a salvage treatment for elderly patients with failed intertrochanteric fracture fixation.
- To assess hip pain reduction and joint function restoration after THA.
- To determine the early clinical outcomes and survival rates of THA in this patient cohort.
Main Methods:
- Retrospective analysis of 18 elderly patients (average age 70.3 years) treated with THA for failed intertrochanteric fracture fixation.
- Patients had prior internal fixation with various devices (proximal femoral nail, locking plates, dynamic hip screws).
- Assessment included Harris scores, SF-36 Health Questionnaire, and digital radiology for stability and survival.
Main Results:
- 15 patients completed follow-up (mean 26.2 months).
- No joint infections, dislocations, or periprosthetic fractures were reported.
- Significant improvement in average Harris scores (32.68 to 91.08) and SF-36 scores post-treatment.
Conclusions:
- THA serves as an effective salvage treatment for failed intertrochanteric fracture fixation in the elderly.
- The procedure significantly alleviates hip pain and restores joint function.
- Early clinical outcomes for THA in this context are satisfactory.
