scholarly journals Displaced intracapsular neck of femur fractures: Dislocation rate after total hip arthroplasty

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
S Shituleni ◽  
S Maqungo
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Dislocation Rate ◽  
Neck Of Femur ◽  
Total Hip ◽  
Femur Fractures

scholarly journals Analysis of total hip arthroplasty for displaced intracapsular neck of femur fractures in a tertiary referral trauma centre

Injury Extra ◽  
2012 ◽  
Vol 43 (10) ◽  
pp. 105
Author(s):  
Z. Gamie ◽  
J. Neale ◽  
D. Shields ◽  
J. Claydon ◽  
S. Hazarika ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Trauma Centre ◽  
Tertiary Referral ◽  
Neck Of Femur ◽  
Total Hip ◽  
Femur Fractures

scholarly journals Dual mobility total hip arthroplasty for salvaging failed internal fixation for neck of femur fractures

2020 ◽  
Vol 27 (1) ◽  
pp. 68-71
Author(s):  
Jatinder Singh Luthra ◽  
Suwailim Al Ghannami ◽  
Salim Al Habsi ◽  
Soubhik Ghosh
Keyword(s):  
Total Hip Arthroplasty ◽  
Internal Fixation ◽  
Hip Fractures ◽  
Hip Arthroplasty ◽  
Harris Hip Score ◽  
Neck Of Femur ◽  
Dual Mobility ◽  
Wound Debridement ◽  
Total Hip ◽  
Femur Fractures

Internal fixation is commonly used to treat fractures in the hip. However, failure of proximal femoral fracture fixation is common and treated with total hip replacement (THR). The aim of this study is to present our midterm results of dual mobility (DM) THR for failed internal fixation of proximal femur fractures. Between 2010 and 2015, a total of 28 cases of failed internal fixation for hip fractures were treated through DM total hip arthroplasty. Two patients died during the early postoperative period due to medical complications. The average follow-up was 3.4 years. We had one patient with superficial surgical site infection which was managed by local wound debridement and dressings. The average Harris hip score was 85. DM THR is the procedure of choice for revising failed internal fixation for hip fractures in our patients with good clinical outcome.

scholarly journals 854 Mortality Associated with Conversion of Total Hip Arthroplasty for Failed Fixation/Hemiarthroplasty for Neck of Femur Fractures

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
W Khan ◽  
A Baig ◽  
Q Afzaal ◽  
J Davison ◽  
S Hutchings ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Internal Fixation ◽  
Hip Arthroplasty ◽  
Screw Fixation ◽  
Posttraumatic Arthritis ◽  
Time To Failure ◽  
Neck Of Femur ◽  
Total Hip ◽  
Femur Fractures ◽  
The Mean

Abstract Aim To identify the mortality associated with failed internal fixation and hemiarthroplasty of neck of femur fractures. Method Patients undergoing conversion of internal fixation / hemi arthroplasty were identified from theatre records and surgical databases. Data was stored in Microsoft Excel spreadsheet. Clinical outcomes at 30 days, 1 year and 5 years post conversion total hip replacement. Results 60 cases were collected between June 2006 and November 2016. 46 females and 14 males involved in the case. The mean age of male patients was 66.5 and for females 67.9. 32 patients had previous sliding hip screw fixation,12 had intra-medullary nails, 8 had cannulated screw fixation and 5 patients had hemiarthroplasty. The mean time to failure was 22 months (Range: 2 weeks to 60 months) and there were 6 cases of late posttraumatic arthritis (range 4 yrs to 23 yrs). Average time from documented failure to conversion THR was 2 months. There were 2 superficial wound infections which were successfully treated with antibiotics. There were 2 cases of deep infection which required multiple debridement, washout, and prolonged inpatient stay. Average duration of hospital stay was 5.7days. 18 patients died before 5 years for reasons unrelated to their hip. All had a functional prosthesis at time of last review. 42 patients alive at 5 years had a functional prosthesis at last review Conclusions Total Hip Arthroplasty is a successful procedure for failed fixation / hemiarthroplasty despite the technical challenges. A 3–5-year mortality rate of 33.33 % reflects well against the NHFD 1year mortality of 30 %.

Treatment of displaced intracapsular fractures of the femoral neck with total hip arthroplasty or hemiarthroplasty

2020 ◽  
Vol 102-B (6) ◽  
pp. 693-698 ◽  
Author(s):  
Aparna Viswanath ◽  
Anum Malik ◽  
Warwick Chan ◽  
Antonio Klasan ◽  
Neil P. Walton
Keyword(s):  
Total Hip Arthroplasty ◽  
Femoral Neck ◽  
Hip Arthroplasty ◽  
Radical Change ◽  
Neck Of Femur ◽  
Trochanteric Bursitis ◽  
Total Hip ◽  
Femur Fractures ◽  
Change In Practice ◽  
The Subject

Aims Despite few good-quality studies on the subject, total hip arthroplasty (THA) is increasingly being performed for displaced intracapsular fractures of the neck of femur. We compared outcomes of all patients with displacement of these fractures treated surgically over a ten-year period in one institution. Methods A total of 2,721 patients with intracapsular fractures of the femoral neck treated with either a cemented hemiarthroplasty or a THA at a single centre were retrospectively reviewed. The primary outcomes analyzed were readmission for any reason and revision surgery. We secondarily looked at mortality rates. Results We found no difference in the overall revision rate or rate of infection. However, the rates of readmission due to dislocation, pain, and trochanteric bursitis were significantly higher in the THA group (p = 0.001, p < 0.001, p < 0.001, and p = 0.001, respectively). Conclusion Our study, comparing the outcomes of neck of femur fractures treated with a cemented hemiarthroplasty and THA, revealed the perceived superiority of THA was not borne out by our results. This should be carefully considered before any radical change in practice regarding the use of THA for displaced intracapsular fractures of the femoral neck. Cite this article: Bone Joint J 2020;102-B(6):693–698.

Outcome of revision surgery in recurrent dislocation of primary total hip arthroplasty

2020 ◽  
pp. 112070002091114
Author(s):  
Nisarg Mehta ◽  
Veenesh Selvaratnam ◽  
Joseph Alsousou ◽  
Nigel Donnachie ◽  
Fintan Adrian Carroll
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Surgery ◽  
Recurrent Dislocation ◽  
Median Number ◽  
Dislocation Rate ◽  
Neck Of Femur ◽  
Total Hip ◽  
Late Dislocation ◽  
Primary Total Hip Arthroplasty

Background: The cause of recurrent dislocation following primary total hip arthroplasty (THA) is multifactorial. A re-dislocation rate of up-to 34% following revision is reported. The aim of this study was to determine the re-dislocation rates following revision for recurrent THR dislocation. Methodology: Patients who underwent revision for recurrent dislocation between January 2008 and January 2015 were identified. We identified the date and type of primary implant, overall number and reasons for dislocation, revision implant details and complication data. Results: Over an 8-year period, 24 patients underwent revision. The median age was 77 (68–85) years, median time to first dislocation was 78 (23–160) months and median number of dislocations was 3 (2–4) with a mean follow-up of 18 months. Socket Mal-Orientation (10) and Abductor deficiency (5) were the main causes of recurrent dislocation. 21 patients (88%) underwent revision of both components, 1 patient underwent isolated cup revision and 2 patients had revision of acetabular component with insertion of a BioBall. There were no dislocations within 90 days of revision surgery. 4 patients had late dislocations (3 recurrent, 1 isolated). There was no significant increase risk of dislocation after revision surgery in the neck of femur group ( p  = 0.467). Conclusions: We report favourable outcomes for revision of both components for recurrent dislocation with no dislocations within 90 days. The overall late dislocation rate was 16.7%, however, these patients have settled following closed reduction. Due to its multifactorial aetiology, both component revision can be considered in this patient population.

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