Salvage Total Hip Replacement for Failed Proximal Femoral Fracture Fixation
Author Information
Author(s): Muacevic Alexander, Adler John R, Habib Zain, Malik Aditya, Moran Matthew, Rasool Muhammad Umer, Arifuzaman Mohammed, Ahmed Azeem, Mohan Rama
Primary Institution: Trauma and Orthopaedics, Manchester University NHS Foundation Trust
Hypothesis
What are the clinical and radiological results following salvage procedures for failed proximal femoral fracture fixation?
Conclusion
Salvage arthroplasty for failed proximal femoral fracture fixation is complex and has a higher rate of complications compared to primary hip arthroplasty.
Supporting Evidence
- 71 patients underwent complex salvage arthroplasty following a failed fixation of proximal femoral fracture.
- The infection rate was 21.13%, being the most common surgical complication.
- 44% of patients required blood transfusion postoperatively.
- The mean surgical time was four hours and 13 minutes.
- One-year mortality was found to be 14%.
Takeaway
This study looked at surgeries to replace hips that didn't heal properly after a fracture. It found that these surgeries are harder and take longer than regular hip replacements.
Methodology
The study included a scoping review of literature and a retrospective analysis of patient notes over 16 years.
Potential Biases
The study's retrospective nature may introduce bias in data collection and interpretation.
Limitations
The study is retrospective and may be subject to recall bias; it also lacks a control group for comparison.
Participant Demographics
{"mean_age":73.6,"female_percentage":66.45,"male_percentage":33.55}
Digital Object Identifier (DOI)
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