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Cementless total hip arthroplasty for failed treatment of subtrochanteric fracture

BMC Musculoskeletal Disorders Apr 29, 2021

Jin SY, Jin JY, Kim MG, et al. - In this study, the outcomes and complications of salvage total hip arthroplasty (THA) in failed subtrochanteric fracture fixation cases were investigated. Researchers conducted cementless THA for failed treatment of subtrochanteric fractures in 18 hips of 11 men and 7 women (average age, 74 years; age range, 57.0–89.0 years) from January 2001 to December 2017. They used Wagner femoral stems (Zimmer, Warsaw, USA) in all 18 patients (100%), with the long-length stem (Wagner SL stem) and standard-length stem (Wagner cone stem) applied in 11 and 7 patients, respectively. The outcomes demonstrate that cementless THA was found to be a beneficial and effective procedure for salvaging the failed treatment of subtrochanteric fractures. According to the findings, the Wagner conical prosthesis has shown satisfactory function outcomes, stable fixation, and survival rate for these complex situations. The data revealed that attention should be paid to elevated operation time, blood loss, and complications when conducting THA for subtrochanteric fractures with failed fixation devices particularly, plates and screws.

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