This article is more than 5 years old. Information may no longer be current.
Increased risks associated with THA for failed internal fixation after femoral neck fracture
Patients who underwent salvage total hip arthroplasty for failed internal fixation following femoral neck fracture had prolonged operating times and increased risks compared with patients who had primary total hip arthroplasty for acute displaced femoral neck fracture, according to study results.
Researchers analyzed 130 total hip arthroplasties (THAs) for acute displaced femoral neck fracture and for failed internal fixation. Overall, 64 patients underwent THA for femoral neck fracture (group one) and 66 underwent THA due to failed internal fixation (group two).
Results showed a shorter average operative time among patients in group one compared with patients in group two. Researchers found group two also had more intra-operative blood loss and drainage collected within 24 hours postoperatively. However, only drainage volume demonstrated significant difference between the groups, according to study results. Patients who had THA due to failed internal fixation were more likely to develop hip complications than the patients who underwent THA for femoral neck fracture. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.