Management of Failed Trochanteric Fracture Fixation With Cementless Modular Hip Arthroplasty Using a Distally Fixing Stem

被引：40

作者：

Thakur, Raman R. ^{[1
]}

Deshmukh, Ajit J. ^{[1
]}

Goyal, Amrit ^{[1
]}

Ranawat, Amar S. ^{[1
]}

Rasquinha, Vijay J. ^{[1
]}

Rodriguez, Jose A. ^{[1
]}

机构：

[1] Lenox Hill Hosp, Dept Orthoped Surg, New York, NY 10021 USA

来源：

JOURNAL OF ARTHROPLASTY | 2011年 / 26卷 / 03期

关键词：

intertrochanteric fracture; complication; tapered; modular; cementless; arthroplasty; INTERNAL-FIXATION; INTERTROCHANTERIC FRACTURES; SALVAGE; COMPLICATIONS; REPLACEMENT; SCREW; FEMUR;

D O I：

10.1016/j.arth.2010.01.103

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Failure of internal fixation of intertrochanteric fractures is associated with delayed union or malunion resulting in persistent pain and diminished function. We evaluated 15 elderly patients treated with a tapered, fluted, modular, distally fixing cementless stem. At an average follow-up of 2.86 years, mean Harris hip score improved from 35.90 preoperatively to 83.01 (P < .01). Fourteen stems had stable bony ongrowth, and one stem was loose. Distal fixation with a tapered, fluted, modular cementless stem allows stable fixation with good functional outcome in a reproducible fashion in this challenging cohort of patients.

引用

页码：398 / 403

页数：6

共 29 条

[1]

Alvarez Diego Bertrand, 2004, Acta Orthop Belg, V70, P435

[2]

ANGLEN JO, 1997, CLIN ORTHOP RELAT RE, V175

[3]

BENDO JA, 1994, ORTHOP REV S, V30

[4]

BONNEVIALLE P, 2003, REV CHIR ORTHOP, V27, P197

[5] ECTOPIC OSSIFICATION FOLLOWING TOTAL HIP-REPLACEMENT - INCIDENCE AND A METHOD OF CLASSIFICATION [J].

BROOKER, AF ;

BOWERMAN, JW ;

ROBINSON, RA ;

RILEY, LH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (08) :1629-1632

[6] POROUS-COATED HIP-REPLACEMENT - THE FACTORS GOVERNING BONE INGROWTH, STRESS SHIELDING, AND CLINICAL-RESULTS [J].

ENGH, CA ;

BOBYN, JD ;

GLASSMAN, AH .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1987, 69 (01) :45-55

[7]

GOLDSTEIN WM, 2005, ORTHOPAEDICS

[8] HIP-ARTHROPLASTY FOR FAILED INTERNAL-FIXATION OF INTERTROCHANTERIC AND SUBTROCHANTERIC FRACTURES IN THE ELDERLY PATIENT [J].

HAENTJENS, P ;

CASTELEYN, PP ;

OPDECAM, P .

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 1994, 113 (04) :222-227

[9] Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures [J].

Haidukewych, GJ ;

Berry, DJ .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (05) :899-904

[10] Reverse obliquity fractures of the intertrochanteric region of the femur [J].

Haidukewych, GT ;

Israel, TA ;

Berry, DJ .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (05) :643-650

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