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Conversion Birmingham Hip Resurfacing in Managing Post-traumatic Arthritis With Retained Femoral Hardware: A Case
Shujaa T Khan1, Ignacio Pasqualini, Nathan Mesko
1Cleveland Clinic Adult Reconstruction Research (CCARR), Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.
Conversion Birmingham Hip Resurfacing (BHR) offers a viable alternative for hip arthritis in patients with existing femoral hardware. This approach can lead to satisfactory outcomes for complex hip reconstructions.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- Post-traumatic arthritis can develop after hip fractures.
- Retained femoral hardware presents challenges for subsequent hip arthroplasty.
Purpose of the Study:
- To evaluate the efficacy of conversion Birmingham Hip Resurfacing (BHR) in a patient with post-traumatic arthritis and retained hardware.
Main Methods:
- A 70-year-old male with a history of intertrochanteric hip fracture underwent open reduction internal fixation with a cephalomedullary nail.
- Conversion BHR was performed, involving removal of proximal hardware and retention of the intramedullary nail.
Main Results:
- The patient reported satisfactory clinical outcomes at 7-year follow-up.
- Radiographic evaluation demonstrated excellent fixation of the hip resurfacing implant.
Conclusions:
- Conversion BHR is a potential alternative to total hip arthroplasty for patients with post-traumatic arthritis and retained femoral hardware.
- This technique can achieve favorable long-term results in complex cases.
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