English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Background: There are different indications for total hip arthroplasty (THA) after failed internal fixation of neck femur fracture. This led us to carry out a prospective study of the clinical outcomes, radiological outcomes, technical issues and complications of this procedure. Objective: To evaluate the clinical and radiological outcome of total hip arthroplasty after failed internal fixation of neck femur fracture, along with the technical difficulties and complications encountered. Patients and methods: This was a prospective, single-center study of 12 THA cases performed after internal fixation of neck femur fracture. These procedures were performed between 2017 and 2019 in 12 patients (5 men, 7 women). The initial fracture fixation involved a screw-plate (n = 1), intramedullary nail (n = 2) or screws (n = 9). The mean patient age at the time of THA was 50 years [38–72]. The THA was performed an average of 2.8 years [0.2–28] after the fracture. The lateral (Modified Hardinge) hip approach was used in all cases. 3 patients (25%) had the fixation hardware removed before the THA procedure. During the THA procedure, a cemented stem was used in 4 cases (33.3%) and a cement less stem in 8 cases (66.7%). A cement less press-fit cup was used in all cases. Results: No patients were lost to follow-up. Two patients suffered an intraoperative femur fracture (16.7%) and one suffered a dislocation (8.3%). One hip had to be reoperated (8.3%) and required an implant change. With a mean follow-up of 36 months [12–48], the mean modified Harris hip score was 78.2 ± 4.4 [35-91]. Conclusion: THA is a satisfactory salvage procedure after failed internal fixation of neck femur fracture.

Total Hip Arthroplasty after Failed Internal Fixation of Neck Femur Fracture: Analysis of 12 Cases