Hip arthroplasty for managem of failed treatment of proximo hip fractures

ABSTRACT

The purpose of the present study is to evaluate the results and complications of hip arthroplasty performed as a salvage procedure after the failed treatment of proximal hip fracture. sixteen patients [nine men and seven women] with a mean age of 63.6 years were treated at Ain Shams University Hospitals with hip arthroplasty after failed treatment of proximal femoral fractures. Three patients had a total hip arthroplasty with cementless cup, eleven had a bipolar hemiarthroplasty, and two had a unipolar hemiarthroplasty [Thompson]. There were some intra-operative complications that delayed recovery but did not affect the end result. The mean duration of follow-up was 15 months. The patients were evaluated both clinically and radiologically. Thirteen patients out of the sixteen had no to mild pain, three patients had moderate to severe pain. Fourteen patients are walking without support. Radiologically there were no signs of loosening. Hip arthroplasty is an effective salvage procedure after the failed treatment of proximal femoral fractures. But it is technically more difficult than routine primary hip arthroplasty