Document Detail


Satisfactory results of Stanmore total hip arthroplasty after failed osteosynthesis of the femoral neck.
MedLine Citation:
PMID:  15055314     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Treatment of fractures of the femoral neck by closed reduction and internal fixation results in a high incidence of complications, and often requires secondary total hip arthroplasty. We retrospectively studied 31 patients who underwent a Stanmore (Howmedica) total hip arthroplasty performed five months (median) after osteosynthesis. The most common indications were: failure of fixation (n = 14), osteonecrosis (n = 9) and secondary osteoarthritis (n = 6). Eight patients had a maximum follow-up of 12 months; the median follow-up was 30 months in the remaining group of 23 patients. Although one patient had radiographical signs of femoral loosening, none of the patients studied needed revision of the total hip arthroplasty. Using the Merle d'Aubigné scoring system, we found excellent results in 94% of the cases. Despite the short-term follow-up and the small number of patients, we conclude that the Stanmore THA was a satisfactory salvage procedure after failure of internal fixation for femoral neck fracture.
Authors:
Joris C T van der Lugt; Sander D S Dijkstra
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  70     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-04-01     Completed Date:  2004-04-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  25-30     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands. j.c.t.van_der_lugt@lumc.nl
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip / methods*
Cohort Studies
Female
Femoral Neck Fractures / radiography,  surgery*
Follow-Up Studies
Fracture Fixation, Internal / adverse effects*,  methods
Fracture Healing / physiology
Hip Prosthesis*
Humans
Injury Severity Score
Male
Middle Aged
Osseointegration / physiology
Prosthesis Design
Recovery of Function
Reoperation
Retrospective Studies
Risk Assessment
Treatment Failure
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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