Total hip arthroplasty following failed primary surgery of fracture neck femur
Pan Arab Journal of Orthopaedic and Trauma [The]. 2006; 10 (2): 139-151
em Inglês
| 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:
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Seguimentos
/
Resultado do Tratamento
/
Fraturas do Colo Femoral
/
Hemiartroplastia
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Pan Arab J. Orthop. Trauma
Ano de publicação:
2006
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