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Review
. 2017:37:29-34.

Conversion Total Hip Arthroplasty After Failed Basicervical Hip Fracture Fixation: A Case Report and Review of Literature

Vineet Tyagi  1 , Oluwaseun Akinbo  2
Affiliations
Review

Conversion Total Hip Arthroplasty After Failed Basicervical Hip Fracture Fixation: A Case Report and Review of Literature

Vineet Tyagi et al. Iowa Orthop J. 2017.

Abstract

Proximal femur fractures are a common orthopedic injury, and it is estimated that their prevalence will continue to increase over the next twenty years. There has been much debate over the optimal management of basicervical fractures, which can be difficult to identify radiographically. There is also a role for conversion total hip arthroplasty in patients where fracture fixation fails. We present a case report of a proximal femur fracture managed as a basicervical fracture, and subsequently needing a conversion arthroplasty and revision surgery. We also review the literature to identify the complexities of basicervical fractures and conversion arthroplasty.

Keywords: arthroplasty; basicervical; conversion; fracture; neck.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Radiographs showing the left hip (A) at time of fracture; (B) after placement of cephalomedullary nail.
Figure 2
Figure 2
Radiograph showing the left hip nine months postoperatively.
Figure 3
Figure 3
Images of the left hip (A) after conversion THA and (B) postoperative CT scan showing acetabular posterior wall defect.
Figure 4
Figure 4
Image of the left hip after removal of THA and implantation of acetabular cage and revision modular stem.
See this image and copyright information in PMC

References

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    1. Koval K.J., et al. Patients with femoral neck and intertrochanteric fractures. Are they the same? Clin Orthop Relat Res. 1996;330:166–72. - PubMed
    1. Saarenpaa I., Partanen J., Jalovaara P. Basicervical fracture–a rare type of hip fracture. Arch Orthop Trauma Surg. 2002;122(2):69–72. - PubMed
    1. Blair B., et al. Basicervical fractures of the proximal femur. A biomechanical study of 3 internal fixation techniques. Clin Orthop Relat Res. 1994;306:256–63. - PubMed
    1. Parker MJ, P.G., Thorngren K-G. Extramedullary fixation of extracapsular fractures, in Handbook of hip fracture surgery. Oxford: Butterworth-Heinemann; 1997. pp. 63–90.

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