Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Mar 14;93(1):e2022028.
doi: 10.23750/abm.v93i1.10853.

Hip Replacement after Proximal Femur Failed Osteosynthesis: our experience

Nicola Corradi  1 , Gaetano Caruso  2 , Ilaria Martini  3 , Leo Massari  4
Affiliations

Hip Replacement after Proximal Femur Failed Osteosynthesis: our experience

Nicola Corradi et al. Acta Biomed. .

Abstract

Background and aim: failure of proximal femur fixation is a rare but challenging complication. Hip replacement could be a safe and optimal salvage treatment option. However, serious complications could occur. The aim of our study is to retrospectively review all hip replacement performed after proximal femur fixation failure and to evaluate functional and radiographic outcomes.

Methods: we reviewed all Total Hip Arthroplasty and Hemiarthroplasty performed from 2013 to 2020 in Our Departement. We evaluated latest follow-up x-rays for stem subsidence, varus-valgus stem position (>5°), limb lenght inequality (>1cm), dislocation, component loosening, heterotopic calcification classified according to Brooker, cement leakage. Harris Hip Score (HHS) and Hip WOMAC score were perfomed at the latest follow-up to estimate functional outcome.

Results: 14 THA had no complications with mean HHS 86.5 and WOMAC score 91,68. 1 periprosthetic infection was reported on THA, however after 2-stages revision functional and radiographic otucomes were satisfactory. 5 HA had rated mean HHS 65.8 and WOMAC score 70.18. 2 HA experienced dislocations which required surgical revision and conversion to THA.

Conclusions: as a salvage surgery for failure of proximal femur fixation, Hip Replacement is safe and recommendable. THA reported better results than HA. Nonetheless, every patient should be carefully evaluated before undergoing surgery to detect possible complication risk factors.

PubMed Disclaimer

Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Femur Cephalo-medullary nail with lag screw cut-out
Figure 2.
Figure 2.
THA after lag screw nail cut-out
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Kannus P, Parkkari J, Sievänen H, Heinonen A, Vuori I, Järvinen M. Epidemiology of hip fractures. Bone. 1996 Jan;(18(1 Suppl)):57S–63S. - PubMed
    1. Cummings SR, Rubin SM, Black D. The future of hip fractures in the United States. Numbers, costs, and potential effects of postmenopausal estrogen. Clin Orthop Relat Res. 1990 Mar;(252):163–6. - PubMed
    1. Karagas MR, Lu-Yao GL, Barrett JA, Beach ML, Baron JA. Heterogeneity of hip fracture: age, race, sex, and geographic patterns of femoral neck and trochanteric fractures among the US elderly. Am J Epidemiol. 1996 Apr 1;143(7):677–82. - PubMed
    1. Veronese N, Maggi S. Epidemiology and social costs of hip fracture. Injury. 2018 Aug;49(8):1458–1460. - PubMed
    1. Fernandez MA, Griffin XL, Costa ML. Management of hip fracture. Br Med Bull. 2015 Sep;115(1):165–72. - PubMed