NDLI: Salvage hip arthroplasty after failed fixation of proximal femur fractures.

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Salvage hip arthroplasty after failed fixation of proximal femur fractures.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	DeHaan, Alexander M. Groat, Tahnee Priddy, Michael Ellis, Thomas J. Duwelius, Paul J. Friess, Darin M. Mirza, Amer J.
Description	Country affiliation: United States Author Affiliation: DeHaan AM ( Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon 97239-3098, USA.)
Abstract	We reviewed 46 patients who underwent salvage hip arthroplasty (SHA) for revision of failed cannulated screws (CS), sliding hip screws (SHS), or intramedullary nails (IMN). The primary objective was to determine differences in operative difficulty. SHA after failed femoral neck fixation was associated with lower intra-operative demands than after failed peri-trochanteric fractures. Similarly, analysis by the index implant found that conversion arthroplasty after failed CSs was associated with lower intra-operative morbidity than failed SHSs or IMNs; differences between SHS and IMN were not as clear. Importantly, intra-operative data in cases of failed SHSs were similar regardless of the original fracture type, showing the device played a larger role than the fracture pattern. Complications and revision surgery rates were similar regardless of fracture type or fixation device. Our results suggest that operative demands and subsequent patient morbidity are more dependent on the index device than the fracture pattern during SHA.
File Format	HTM / HTML
ISSN	08835403
Issue Number	5
Volume Number	28
e-ISSN	15328406
Journal	The Journal of Arthroplasty
Language	English
Publisher	Elsevier
Publisher Date	2013-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Arthroplasty Femoral Fractures Surgery Fracture Fixation, Internal Salvage Therapy Adult Aged Aged, 80 And Over Female Femoral Neck Fractures Hip Fractures Humans Male Middle Aged Reoperation Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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