Failed hip surgeries managed with replacement arthroplasty: A retrospective study of 25 cases
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 7, Issue 2
Abstract
Background: Hip fractures account to succumb devastating lifestyle and early mortality in older comorbid patients. Fractures of the hip region need anatomical fixation and osteosynthesis. But implant failures are associated with deformed hip function, biomechanical imbalance of the lumbopelvic synchrony and painful gait. Method: 25 patients operated for hip fractures previously were included in the study. 18 male and 7 female patients between age 30-70 years were the subjects. 18 patients were previously operated fracture neck femur, 5 patients were fracture intertrochanteric and 1 patient had fracture acetabulum. All patients were undergone implant removal and hemiarthroplasty in 6 patients while total hip prosthesis in 19 patients. Assessment were done with Harris hip score at 6 months and 1 year followup. Result: 31% of patients with Ficat Arlet stage II changes were undergone hemiarthroplasty while rest of the patients with grade III-IV changes had operated with total hip replacement. 24% of patients had mild pain at one year followup. 64% of patients had no limitation of walking distance. 92% of patients had no restrictions in daily living activities. Final excellent score was observed in 78% of cases at final follow up. Conclusion: hip arthroplasty following failed hip surgery is a major rescue from morbidity related to complications of immobilisation and altered gait with deranged hip biomechanics. Removal of old implants with reconstruction of hip joint with arthroplasty is an art and require expertise.
Authors and Affiliations
Harsh Raj, Parag M Tank, Vijay J Patel, Bhargav G Parmar, Dipak S Parmar
Keywords
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