Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Assessing Recovery Across the Mental Health Spectrum After Total Knee Arthroplasty.

Arthroplasty today·2026
Same author

Impact of Fellow Involvement on Patient Outcomes in Total Hip and Knee Arthroplasty.

The Journal of arthroplasty·2026
Same author

The Impact of Enabling Technology on Surgeon Workload in Total Knee Arthroplasty: A National Survey Comparing Manual and Technology-Enabled Procedures.

The Journal of arthroplasty·2026
Same author

Hip and Knee Disability and Osteoarthritis Outcome Scores Minimal Clinically Important Differences Vary by Payer Type: Implications for Mandatory Patient-Reported Outcome Reporting.

The Journal of arthroplasty·2026
Same author

Endoscopic Management of Calcific Tendinopathy in the Proximal Hamstring: Two Case Reports.

Case reports in orthopedics·2026
Same author

Alignment boundaries and soft tissue balancing goals are inconsistently reported in robotic-assisted total knee arthroplasty studies: A narrative methodological review.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2026

Related Experiment Video

Updated: Jul 2, 2025

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
07:45

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

3.4K

Orthopedic Hardware Type Impacts Case Complexity in Conversion Total Hip Arthroplasty Surgery.

Justin Cardenas1, Allyson N Pfeil2, Davin K Fertitta2

  • 1Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX, USA.

Arthroplasty Today
|February 28, 2024
PubMed
Summary

Conversion total hip arthroplasty following intramedullary nails (IMNs) is more complex than after screw fixation. IMN cases involve greater blood loss, longer surgeries, and more complications, impacting patient outcomes.

Keywords:
ArthroplastyClosed reduction and percutaneous pinningConversion THAIntramedullary nailsPosttraumatic hip osteoarthritis

More Related Videos

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

2.6K
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

11.8K

Related Experiment Videos

Last Updated: Jul 2, 2025

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
07:45

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

3.4K
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

2.6K
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

11.8K

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Clinical Outcomes Research

Background:

  • Conversion total hip arthroplasty (THA) involves diverse prior implants, influencing procedure complexity and outcomes.
  • Pre-existing proximal femur fixation, such as intramedullary nails (IMNs) or screw fixation, presents unique challenges for subsequent THA.

Purpose of the Study:

  • To compare the surgical complexity and resource utilization of conversion THA in patients with prior intramedullary nails (IMNs) versus screw fixation.
  • To evaluate perioperative outcomes and identify differences between these two distinct patient groups undergoing conversion THA.

Main Methods:

  • Retrospective review of 106 patients undergoing conversion THA between 2012 and 2020.
  • Patients were categorized based on preoperative fixation: intramedullary nails (IMNs) or closed reduction and percutaneous pinning/screw fixation (CRPP).
  • Collected data included demographics, operative details, outcomes, and implant information.

Main Results:

  • No significant differences in age or BMI between IMN and CRPP cohorts.
  • IMN patients underwent more prior surgeries, experienced increased blood loss, and had longer operative times.
  • IMN cohort showed longer hospital stays, higher rates of trochanteric plate use, readmissions, and need for revision surgery compared to CRPP.

Conclusions:

  • Conversion THA following intramedullary nail (IMN) fixation is associated with significantly worse perioperative outcomes compared to conversion following screw fixation (CRPP).
  • These findings highlight distinct clinical and resource implications for managing patients with prior IMNs versus CRPP constructs during conversion THA.