Salvage Total Hip Replacement for Failed Proximal Femoral Fracture Fixation
Zain Habib1, Aditya Malik2, Matthew Moran3
1Trauma and Orthopaedics, Manchester University NHS Foundation Trust, Manchester, GBR.
Cureus
|December 30, 2024
Summary
Salvage hip arthroplasty following proximal femoral fracture fixation failure is complex, with high infection rates and longer surgeries. These procedures require separate categorization and study due to their unique challenges compared to primary hip replacements.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
- Trauma Surgery
Background:
- Salvage hip arthroplasty addresses failed proximal femoral fracture fixation, a complex procedure involving implant removal and hip replacement.
- Technical difficulties and complications are often challenging to predict in these cases.
Purpose of the Study:
- To understand the literature on salvage arthroplasty through a scoping review.
- To retrospectively analyze patient data for complex conversion arthroplasty outcomes.
Main Methods:
- Conducted a scoping review of Embase and PubMed for salvage arthroplasty literature.
- Retrospectively analyzed 71 patient cases undergoing complex conversion arthroplasty over 16 years.
Main Results:
- Implant cutout was the most frequent failure mode.
- The infection rate was 21.13%, the most common complication.
- One-year mortality was 14%, and 66.2% of patients experienced limb shortening.
Conclusions:
- Salvage arthroplasty involves longer surgical times and demanding rehabilitation compared to primary hip arthroplasty.
- Characteristics and outcomes share similarities with revision arthroplasty.
- Recommend separate categorization and study of salvage hip arthroplasty in national registries.
Keywords:
complex arthroplastyhip revision arthroplastylong-term clinical outcomesradiological outcomesrevision arthroplasty
