Skip to main content

Conversion Total Hip Arthroplasty Following Failed Fixation

  • Chapter
  • First Online:
Hip Arthroplasty

Abstract

Traumatic hip injuries about the hip are a significant cause of morbidity and mortality globally. Outcomes are influenced by a wide array of factors, when outcomes are suboptimal conversion total hip arthroplasty (CTHA) is a means to salvage failed fracture fixation. When performing CTHA unique challenges are encountered depending on the previous fixation method. The goals are to restore hip biomechanics, provide pain relief, and return to normal daily activities. Meticulous preoperative planning and surgical technique are essential to provide optimal outcomes following an inherently challenging procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Dix DB, Araoye IB, Staggers JR, Lin CP, Shah AB, Agarwal AK, et al. A systematic review and meta-analysis of complications in conversion arthroplasty methods for failed intertrochanteric fracture fixation. J Clin Orthop Trauma. 2019;10:282–5. https://doi.org/10.1016/j.jcot.2018.02.007.

    Article  PubMed  Google Scholar 

  2. Haidukewych GJ, Berry DJ. Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures. J Bone Joint Surg A. 2003;85:899–904.

    Article  Google Scholar 

  3. Angelini M, McKee MD, Waddell JP, Haidukewych G, Schemitsch EH. Salvage of failed hip fracture fixation. J Orthop Trauma. 2009;23:471–8.

    Article  PubMed  Google Scholar 

  4. Petrie J, Sassoon A, Haidukewych GJ. When femoral fracture fixation fails: salvage options. Bone Joint J. 2013;95-B:7–10.

    Article  CAS  PubMed  Google Scholar 

  5. Bhandari M, Swiontkowski M. Management of acute hip fracture. N Engl J Med. 2017;377:2053–62.

    Article  PubMed  Google Scholar 

  6. Papadimitriou N, Tsilidis KK, Orfanos P, Benetou V, Ntzani EE, Soerjomataram I, et al. Burden of hip fracture using disability-adjusted life-years: a pooled analysis of prospective cohorts in the CHANCES consortium. Lancet Public Health. 2017;2:e239–46.

    Article  PubMed  Google Scholar 

  7. Kim SH, Meehan JP, Blumenfeld T, Szabo RM. Hip fractures in the United States: 2008 nationwide emergency department sample. Arthritis Care Res (Hoboken). 2012;64:751–7.

    Article  PubMed  Google Scholar 

  8. Mortazavi SMJ, Greenky MR, Bican O, Kane P, Parvizi J, Hozack WJ. Total hip arthroplasty after prior surgical treatment of hip fracture. Is it always challenging? J Arthroplast. 2012;27:31–6. https://doi.org/10.1016/j.arth.2011.05.014.

    Article  Google Scholar 

  9. Baghoolizadeh M, Schwarzkopf R. The Lawrence D. Dorr surgical techniques & technologies award: conversion total hip arthroplasty: is it a primary or revision hip arthroplasty. J Arthroplast. 2016;31:16–21. https://doi.org/10.1016/j.arth.2015.06.024.

    Article  Google Scholar 

  10. DeHaan AM, Groat T, Priddy M, Ellis TJ, Duwelius PJ, Friess DM, et al. Salvage hip arthroplasty after failed fixation of proximal femur fractures. J Arthroplast. 2013;28:855–9. https://doi.org/10.1016/j.arth.2012.10.027.

    Article  Google Scholar 

  11. Pui CM, Bostrom MP, Westrich GH, Valle CJD, Macaulay W, Mont MA, et al. Increased complication rate following conversion total hip arthroplasty after cephalomedullary fixation for intertrochanteric hip fractures: a multi-center study. J Arthroplast. 2013;28:45–7. https://doi.org/10.1016/j.arth.2013.04.048.

    Article  Google Scholar 

  12. Esposito CI, Carroll KM, Sculco PK, Padgett DE, Jerabek SA, Mayman DJ. Total hip arthroplasty patients with fixed spinopelvic alignment are at higher risk of hip dislocation. J Arthroplast. 2018;33:1449–54. https://doi.org/10.1016/j.arth.2017.12.005.

    Article  Google Scholar 

  13. Paprosky WG, Perona PG, Lawrence JM. Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation. J Arthroplast. 1994;9:33–44.

    Article  CAS  Google Scholar 

  14. Brown NM, Foran JRH, Valle CJD, Moric M, Sporer SM, Levine BR, et al. The inter-observer and intra-observer reliability of the Paprosky femoral bone loss classification system. J Arthroplast. 2014;29:1482–4.

    Article  Google Scholar 

  15. Edwards BN, Tullos HS, Noble PC. Contributory factors and etiology of sciatic nerve palsy in total hip arthroplasty. Clin Orthop Relat Res. 1987;218:136–41. Available from: http://europepmc.org/abstract/MED/3568473.

    Article  Google Scholar 

  16. Zhou S, Jung S, Hwang J. Mechanical analysis of femoral stress-riser fractures. Clin Biomech. 2019;63:10–5. https://doi.org/10.1016/j.clinbiomech.2019.02.004.

    Article  Google Scholar 

  17. DiMaio FR, Haher TR, Splain SH, Mani VJ. Stress-riser fractures of the hip after sliding screw plate fixation. Orthop Rev. 1992;21:1229–1231, 1238.

    CAS  PubMed  Google Scholar 

  18. Kim JH, Kim HJ, Lee DH. Comparison of the efficacy between closed incisional negative-pressure wound therapy and conventional wound management after total hip and knee arthroplasties: a systematic review and meta-analysis. J Arthroplast. 2019;34:2804–14. https://doi.org/10.1016/j.arth.2019.06.020.

    Article  Google Scholar 

  19. Moroni A, Faldini C, Rocca M, Stea S, Giannini S. Improvement of the bone–screw interface strength with hydroxyapatite-coated and titanium-coated AO/ASIF cortical screws. J Orthop Trauma. 2002;16:257. Available from: https://journals.lww.com/jorthotrauma/Fulltext/2002/04000/Improvement_of_the_Bone_Screw_Interface_Strength.7.aspx.

    Article  PubMed  Google Scholar 

  20. Moran MC. A technique for removal of cannulated screws with buried heads from the femoral neck in the course of total hip replacement. A brief note. JBJS. 1992;74. Available from: https://journals.lww.com/jbjsjournal/Fulltext/1992/74080/A_technique_for_removal_of_cannulated_screws_with.16.aspx.

  21. Moehring HD, Althausen PL, Lindholm SR. Technique for removal of cannulated screws. J Orthop Trauma. 2005;19:280–1.

    Article  PubMed  Google Scholar 

  22. Timon C, Keady C. Thermal osteonecrosis caused by bone drilling in orthopedic surgery: a literature review. Cureus. 2019;11:1–7.

    Google Scholar 

  23. Patterson BM, Salvati EA, Huo MH. Total hip arthroplasty for complications of intertrochanteric fracture. A technical note. J Bone Joint Surg Am. 1990;72:776–7.

    Article  CAS  PubMed  Google Scholar 

  24. Eschenroeder HCJ, Krackow KA. Late onset femoral stress fracture associated with extruded cement following hip arthroplasty. A case report. Clin Orthop Relat Res. 1988;236:210–3.

    Article  Google Scholar 

  25. Firoozabadi R, O’Mara TJ, Swenson A, Agel J, Beck JD, Routt M. Risk factors for the development of heterotopic ossification after acetabular fracture fixation. Clin Orthop Relat Res. 2014;472:3383. Available from: https://journals.lww.com/clinorthop/Fulltext/2014/11000/Risk_Factors_for_the_Development_of_Heterotopic.22.aspx.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Lang JE, Bono JV, Whiddon DR, Salyapongse AK, Moezzi DM, Smith EL. Stability of revision acetabular components using the rim-fit technique. J Arthroplast. 2010;25:128–32.

    Article  Google Scholar 

  27. Schwarzkopf R, Chin G, Kim K, Murphy D, Chen AF. Do conversion total hip arthroplasty yield comparable results to primary total hip arthroplasty? J Arthroplast. 2017;32:862–71. https://doi.org/10.1016/j.arth.2016.08.036.

    Article  Google Scholar 

  28. Bercik MJ, Miller AG, Muffly M, Parvizi J, Orozco F, Ong A. Conversion total hip arthroplasty. A reason not to use cephalomedullary nails. J Arthroplast. 2012;27:117–21. https://doi.org/10.1016/j.arth.2012.04.009.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amar S. Ranawat .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zlotnicki, J., Rodriguez, S., Ranawat, A.S. (2023). Conversion Total Hip Arthroplasty Following Failed Fixation. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_24

Download citation

  • DOI: https://doi.org/10.1007/978-981-99-5517-6_24

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-5516-9

  • Online ISBN: 978-981-99-5517-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics