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Outcomes of total hip arthroplasty for healed intertrochanteric hip fractures: A matched retrospective cohort study.

Journal of Arthroplasty May 17, 2020

Lizaur-Utrilla A, Miralles-Muñoz FA, Ruiz-Lozano M, et al. - This study was attempted to assess the effect of a prior healed intertrochanteric fracture fixation on the outcomes of a subsequent total hip arthroplasty (THA) for osteoarthritis. Researchers conducted matched retrospective cohort study of THA including 43 patients who suffered a prior intertrochanteric fracture successfully managed with internal fixation compared with 43 patients without prior hip fracture (mean age was 73.6 vs. 74.2 years). They applied a conventional cementless THA in both groups. Via the Harris Hip Score and Reduced Western Ontario and MacMasters Universities questionnaire, functional outcome was evaluated. They further conducted radiological assessment. The results of this study showed that cementless THA served successful functional results and implant durability at medium-term in patients treated for osteoarthritis following healed intertrochanteric fracture fixation, comparable to those without prior fracture who had undergone primary THA. They found low surgical complexity and complication rate.

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