Total hip arthroplasty after previous fracture surgery

Abstract

Total hip arthroplasty can be a very effective salvage treatment for both failed fracture surgery and hip arthritis that may occur after prior fracture surgery. The rate of complications is significantly increased including especially infection, dislocation, and loosening. Complications are more likely to occur after failed open reduction and internal fixation than after posttraumatic arthritis. Adequately ruling out infection before hip arthroplasty can be difficult. The best predictor of infection is a prior infection. Long-term outcomes can be comparable to outcomes in other conditions if complications are avoided.

Keywords: Acetabular fracture; Failed fracture fixation; Femoral neck fracture; Hip fracture; Intertrochanteric fracture; Posttraumatic arthritis; Total hip arthroplasty.