The Journal of Arthroplasty
Volume 23, Issue 2 , Pages 241-246, February 2008

Diaphyseal Locking Hip Arthroplasty for Treatment of Failed Fixation of Intertrochanteric Hip Fractures

  • Yi-Te Chen, MD

      Affiliations

    • Department of Orthopedics and Traumatology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
    • ,
  • Wei-Ming Chen, MD

      Affiliations

    • Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan
    • Corresponding Author InformationReprint requests: Wei-Ming Chen, MD, Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, 201, Sec2, Shih-Pai Road, Taipei 11221, Taiwan.
    • ,
  • Kung-Sheng Lee, MD, PhD

      Affiliations

    • Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan
    • ,
  • Ching-Kuei Huang, MD

      Affiliations

    • Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan
    • ,
  • Chao-Ching Chiang, MD

      Affiliations

    • Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan
    • ,
  • Tain-Hsiung Chen, MD

      Affiliations

    • Department of Surgery, National Yang-Ming University, Taipei, Taiwan

Received 21 September 2005; accepted 27 March 2007. published online 09 November 2007.

Abstract 

Between 1997 and 2004, 18 patients (8 men and 10 women, with a mean age of 73.2 years) with failed treatment of intertrochanteric hip fractures underwent hip arthroplasty as salvage procedures at our institution. Cementless, 5/8-porous coated, 6-in. primary diaphyseal locking femoral stems were used. Prospective follow-up ranging from 2 to 5 years (mean, 37.1 months) showed improvement of hip function without prosthesis loosening. Complications included 1 case of postoperative infection, 2 cases of dislocation, and 2 cases of stem subsidence. The clinical results were satisfactory. The 5/8-porous coated, 6-in. cementless femoral stems could be used in the salvage procedures for failed fixation of intertrochanteric hip fractures.

Key words: diaphyseal locking, femoral stem, hip arthroplasty, intertrochanteric fracture, porous coating

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 No benefits or funds were received in support of the study.

PII: S0883-5403(07)00192-1

doi:10.1016/j.arth.2007.03.042

The Journal of Arthroplasty
Volume 23, Issue 2 , Pages 241-246, February 2008

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