Evaluation of Short Term Results of Conversion Total Hip Arthroplasty after Failed Hemiarthroplasty and Failed Osteosynthesis.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 6
Abstract
Background: Conversion total hip replacement (THR) has been defined as a THR done for failed prior hip surgery either hemiarthroplasty or failed osteosynthesis. One of the most common conversions done is a conversion from a prior hemiarthroplasty to THR.1,8,10,66 Despite continued discussion regarding the treatment of neck femur fractures, controversies continue regarding their optimal treatment, including choice of implant and fixation method.8, 10,35,49,67 Objective: To evaluate the short term results of conversion total hip arthroplasty after failed hemiarthroplasty and failed osteosynthesis. Material and Methods: A total of 20 patients who met the inclusion criteria were taken up for study. Only failed hemiarthroplasty and failed osteosynthesis were included, which were primarily done for fracture neck of femur. The majority of patients in both groups were males. Average age was 60 years in failed hemiarthroplasty and 58.8 years in failed osteosynthesis patients. After conversion THR Each patient was allowed to do full weight bearing on an average of 4th postoperative day Results: Average time to conversion total hip arthroplasty in failed hemiarthroplasty patients was more in comparison to failed osteosynthesis patients In hemiarthroplasty group range of motion improved from an average of 121.50 preoperatively to 192.50 at final follows up of 1 year. In osteosynthesis group range of motion improved from an average of 1140 preoperatively to 1890 at one year follow up. At final follow up 90% of patients in both groups were having none or slight pain and were satisfied with the procedure Conclusion: Conversion of symptomatic hemiarthroplasty and failed osteosynthesis patients to total hip replacement is a safe option that gives excellent results in terms of pain relief and restoration of function and mobility as near as pre-injury level.
Authors and Affiliations
Dr. Zameer Ali
Keywords
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