Total hip arthroplasty following failed primary surgery of fracture neck femur
Pan Arab Journal of Orthopaedic and Trauma [The]. 2006; 10 (2): 139-151
in English
| IMEMR
| ID: emr-154469
ABSTRACT
Reporting the problems and early results of total hip arthroplasty following primary surgery of fracture neck femur whether it was by open reduction and internal fixation or hemi-arthroplasty . Sixty Jive cases with failed primary surgery of fracture neck femur 26 cases with ORIF. 19 cases with Austin Moore prosthesis . 17 cases with Thompson prosthesis . 3 cases with Bipolar arthroplasty. Hardinge approach was used in all cases . Bone defects were evaluated and filled with bone graft if needed. The total hip prosthesis was then inserted. The approach used did not affect the duration of operation . Extraction of the prosthesis was difficult in 6 cases and this only was encountered in Thompson prosthesis [5 cases and Bipolar prosthesis [one case] . Cracks of the shaft of the femur occurred in 5 cases of patients with cemented prosthesis during cement removal but no evident fractures happened . Early wound complications were seen in one case after ORIF, and 2 cases of hemiarthroplasty . Early postoperative dislocation of the prosthesis were not encountered in any case . One case encountered 3 months post operatively . Harris Hip Score at the final follow up showed a mean 80.1 . At the end of follow up ; 38 cases [58.4%] had an excellent results . 15 cases [23.1%] had a good results . 7 cases [10.8%] had a fair results . 5 cases [7.7%] had a poor results:
Search on Google
Index:
IMEMR (Eastern Mediterranean)
Main subject:
Follow-Up Studies
/
Treatment Outcome
/
Femoral Neck Fractures
/
Hemiarthroplasty
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Pan Arab J. Orthop. Trauma
Year:
2006
Similar
MEDLINE
...
LILACS
LIS