Summary.
The records of 56 patients in whom a hemiarthroplasty, carried out for a femoral neck fracture, had been revised to a total hip replacement, were reviewed. The mode of failure was femoral loosening in 21, acetabular erosion in 26 and both in 5. Loosening tended to occur earlier than acetabular erosion. The median time to the onset of symptoms was 12 months and to revision 33 months. There were 38 major operative or postoperative complications at revision in 27 of the patients (48%).
Résumé.
Présentation d’une série de 56 patients chez qui une hémiarthroplastie après fracture du col fémoral a été révisée par prothèse totale. La cause de l’échec était un descellement fémoral dans 21 cas, une altération acétabulaire dans 26 cas et les 2 causes dans 5 cas. Les descellements apparaissent plus tôt que l’érosion acétabulaire. Le temps moyen de survenue des symptômes fut de12 mois et la révision chirurgicale à 33 mois. Il y a eu 38 complications per et post-opératoires chez 27 patients (48%).
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Accepted: 5 September 1997
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Warwick, D., Hubble, M., Sarris, I. et al. Revision of failed hemiarthroplasty for fractures at the hip. International Orthopaedics SICOT 22, 165–168 (1998). https://doi.org/10.1007/s002640050233
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DOI: https://doi.org/10.1007/s002640050233