Article: Conversion hip arthroplasty for failed internal fixation of ipsilateral femoral neck and shaft fractures: a case report.
2023 Volume 17, Issue 1, Page(s) 1
Abstract: Background: Ipsilateral femoral neck and hip fractures are uncommon high energy injuries. In the literature no single method of treatment has emerged as superior to the others. A recent publication has documented the successful application of the ... ...
Abstract | Background: Ipsilateral femoral neck and hip fractures are uncommon high energy injuries. In the literature no single method of treatment has emerged as superior to the others. A recent publication has documented the successful application of the rendezvous technique using dual-implants for treating these injuries. However in some cases, this technique may fail and revision surgery is required. Case presentation: A 67-year old man sustained ipsilateral fractures of his femur and femoral neck in a road traffic accident. His injuries were treated by a dual construct consisting of a retrograde femoral nail and dynamic hip screw. Three months after surgery the hip screw cut out of the femoral head necessitating revision to a total hip arthroplasty. Surgery was carried out using a single stage two part procedure on a standard operating table without having to reposition or redrape the patient. There were no postoperative complications and at 1 year from surgery the patient is satisfied with the result and has returned to work. Conclusion: Conversion hip arthroplasty in the presence of dual implants is a technically challenging and unpredictable procedure, with an increased risk of complications. Our surgical approach provides a framework for orthopedic surgeons to safely perform this complex procedure. |
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Language | English |
Publishing date | 2023-01-19 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2409244-7 |
ISSN | 1754-9493 |
ISSN | 1754-9493 |
DOI | 10.1186/s13037-023-00352-1 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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