Outcome and technical consideration of conversion total hip arthroplasty after failed fixation of intracapsular and extracapsular hip fractures: Are they really that different?
Injury
; 53 Suppl 1: S23-S28, 2022 Mar.
Article
em En
| MEDLINE
| ID: mdl-32993969
ABSTRACT
INTRODUCTION:
Conversion Total Hip Arthroplasty (cTHA) is a rescue strategy for proximal femur osteosynthesis failures. However, it is unclear whether cTHAs performed for extra-capsular fracture fixation failures (ECF) or for intra-capsular fracture fixation failures (ICF) share the same complexity and efficacy. The purpose of our study was to compare cTHAs performed on pre-existing ICFs and pre-existing ECFs, focusing on surgical complications and functional outcomes in both groups.METHODS:
An observational retrospective study was conducted on cTHA patients, treated between 2014 and 2018, divided into 2 groups ICF-group and ECF-group. The main outcomes were type of implant used, duration of surgery, need for transfusions, incidence of complications, functional outcomes.RESULTS:
28 patients were included (15 in the ECF group and 13 in the ICF group); the average follow-up was of 31 ± 17.3 months. No significant differences were identified in terms of the type of implant used and duration of surgery. The number of transfused patients was 4 in the ICF group and 12 in the ECF group (p = 0.02); the average transfused units were 0.4 ± 0.7 in the ICF group and 1.3 ± 0.9 in the ECF group (p = 0.01). The incidence of complications - an infection and a dislocation, both of which occurred in the ICF group - and functional outcomes did not present significant differences.CONCLUSION:
The conversion surgery on ECFs patients is technically more difficult for the surgeon and prone to greater blood loss. The outcomes are satisfactory and overlap between the two groups.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Artroplastia de Quadril
/
Fraturas do Quadril
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article