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Rev Esp Cir Ortop Traumatol. 2013 May-Jun;57(3):194-200. doi: 10.1016/j.recot.2013.03.004. Epub 2013 May 16.

[Hip arthroplasty with conventional stem as rescue treatment after failed treatment of intertrochanteric hip fractures].

[Article in Spanish]

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  • 1Servei de Cirurgia Ortopèdica i Traumatologia, Hospital Universitari Mutua Terrassa, Spain.



The purpose of this study is to evaluate the results and complications of hip arthroplasty with conventional stem performed as a salvage procedure after the failed treatment of an intertrochanteric hip fracture.


Between 1997 and 2011, 17 patients with a mean age of 76 years were treated with hip arthroplasty for failed treatment of intertrochanteric hip fracture. In all cases a conventional stem was used. The mean follow-up was 6 years (range 1-14 years). Pain, range of motion (Merle d'Aubigné) and functional results (Barthel), as well as implant fixation (Harris and Engh), were evaluated during the follow-up.


Except for one case of death (6%) and one case of infection (Girdlestone arthroplasty), all patients were able to walk independently at 6 months. The majority of the patients (87%) had no or mild pain. After 2 surgeries (osteosynthesis and hip arthroplasty) the mean Barthel Score had decreased from 81 to 66 points. Just one case (6%) of stem loosening has been observed.


In older patients, prosthetic replacement after failed proximal femoral fixation is a reliable salvage option. Most patients have good pain relief and functional improvement, although the rate of perioperative medical complications is high. Surgery is less demanding and the operating time is shorter when conventional femoral stems are used.

Copyright © 2012 SECOT. Published by Elsevier Espana. All rights reserved.

[PubMed - indexed for MEDLINE]
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