Acta Ortopédica Mexicana

Longoria MEV, Hernández RC, Lira RJM
Arthroplasty after failed osteosynthesis in hip fractures
Acta Ortop Mex 2007; 21 (6)

Language: Español
References: 18
Page: 323-327
PDF: 131.49 Kb.

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ABSTRACT

Objective: To assess the functional status of patients with arthroplasty after failed osteosynthesis in hip fractures. Material and methods: Prospective, descriptive, cohort of patients with primary failed osteosynthesis in hip fracture, who underwent total arthroplasty in the period 2002-2004, analyzed with the Harris functional scale. Results: 26 patients: 17 women and 9 men, mean age of 74.8 years. Seventeen patients had loosening of dynamic hip screw, 5 of condylar screw 5 and 4 with cannulated screws. We made 12 hybrid, 10 cemented and 4 not cemented arthroplasties. Eighteen patients with good results, 7 with regular and 1 bad result. Patients with the highest rating were the youngest. Discussion: Arthroplasty of the hip in a patient with failed osteosynthesis should be considered necessary. If we can improve pain of the hip, the patient will have less functional limitation and a better quality of life. This type of surgery requires high technical capability and experience by the orthopedic surgeon. Conclusions: Hip arthroplasty after failed osteosynthesis in hip fractures is a method that improves function and a gives a better life quality.


Key words: prosthetics, pain, osteosynthesis, hip, evaluation.


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