NDLI: Salvage of failed hip fracture fixation.

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Femoral neck fractures: controversies and evidence.

Perioperative considerations in geriatric patients with hip fracture: what is the evidence?

Internal fixation versus arthroplasty for displaced femoral neck fractures: what is the evidence?

Optimal internal fixation for femoral neck fractures: multiple screws or sliding hip screws?

Interobserver reliability of classification systems to rate the quality of femoral neck fracture reduction.

Can we improve fixation and outcomes in the treatment of femoral neck fractures? The use of pharmaceuticals.

Can we improve fixation and outcomes? Use of bone substitutes.

Unipolar versus bipolar hemiarthroplasty for femoral neck fractures: is there a difference?

Optimal arthroplasty for femoral neck fractures: is total hip arthroplasty the answer?

Selection of outcome measures for patients with hip fracture.

Treatment of displaced femoral neck fractures in the elderly: a cost-benefit analysis.

Minimally invasive hip fracture surgery: are outcomes better?

Overcoming barriers to osteoporosis care in vulnerable elderly patients with hip fractures.

Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis.

Intramedullary versus extramedullary fixation for subtrochanteric femur fractures.

Salvage of failed hip fracture fixation.

Resolving controversies in hip fracture care: the need for large collaborative trials in hip fractures.

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Salvage of failed hip fracture fixation.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Angelini, Mark McKee, Michael D. Waddell, James P. Haidukewych, George Schemitsch, Emil H.
Description	Country affiliation: Canada Author Affiliation: Angelini M ( Division of Orthopaedic Surgery, St Michael's Hospital, Toronto, Ontario, Canada.)
Abstract	Nonunion of fractures about the femoral neck and intertrochanteric hip regions is uncommon. Patients who develop nonunions of these fractures typically exhibit marked pain and disability, thereby presenting a treatment challenge to the orthopaedic surgeon. Factors that guide the choice of salvage treatment include the anatomic site of the nonunion, the quality of the remaining proximal bone and articular surface, and patient factors (such as age and activity level). In the younger patients with a well-preserved hip joint, treatment typically involves revision internal fixation with or without osteotomy or bone grafting. However, in older patients, it is more common to encounter poor remaining proximal bone stock or a badly damaged hip joint from hardware cutout. As such, conversion to hip arthroplasty is intended to help effectively restore function and relieve pain. With respect to salvage procedures for the femoral head, the major challenges in decision making include the choice of both internal fixation device and accurate preoperative planning. The challenges involved in planning to convert to hip arthroplasty include the need for acetabular resurfacing, selecting the femoral implant, and managing discontinuity of the greater trochanter. Furthermore, there are additional technical challenges that may be encountered, such as broken hardware, deformity, and femoral bone defects. Overall, salvage of nonunions of femoral neck and intertrochanteric hip fractures in properly selected patients can provide patients with good to excellent results.
File Format	HTM / HTML
ISSN	08905339
Issue Number	6
Journal	Journal of Orthopaedic Trauma
Volume Number	23
e-ISSN	15312291
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2009-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline Sports Medicine Femoral Neck Fractures Surgery Fracture Fixation, Internal Methods Salvage Therapy Humans Prosthesis Failure Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery Sports Science

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