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133958

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

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Last updated: 24 Dec 2024

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Abstract

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.

DOI

10.21608/ejhm.2020.133958

Keywords

Total hip arthroplasty, internal fixation, neck Femur fracture

Authors

First Name

Khaled Mohammed

Last Name

Hassan

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University

Email

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City

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Orcid

-

First Name

Elsayed Eletewy

Last Name

Soudy

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University

Email

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City

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Orcid

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First Name

Mohamed Mansour

Last Name

Elzohairy

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University

Email

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City

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Orcid

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First Name

Ahmed Mohammed Fathy

Last Name

Atia

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University

Email

drahmed9250@gmail.com

City

-

Orcid

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Volume

81

Article Issue

7

Related Issue

19561

Issue Date

2020-10-01

Receive Date

2020-12-30

Publish Date

2020-10-01

Page Start

2,429

Page End

2,432

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 7_Pages 2429-2432.pdf

PDF . 421.4kB

Link

https://ejhm.journals.ekb.eg/article_133958.html

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https://ejhm.journals.ekb.eg/service?article_code=133958

Order

22

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

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

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Article

Created At

22 Jan 2023