抄録
The purpose of this study was to evaluate the clinical results of total hip arthroplasty for salvage of failed trochanteric fracture fixation. We treated six patients (1 man, 5 women, mean age 79 years). The mean interval from fracture fixation to arthroplasty was 24 months. The mean duration of follow-up was 16 months. Cementless standard stem was used in 3 patients, modular stem in one patient, and cemented stem in 2 patients. Mean JOA score improved from 32 preoperatively to 81 (P<0.01). There was no intra, postoperative femoral fracture, dislocation, and venous thromboembolism. Computed tomography was useful for the surgical planning. Total hip arthroplasty for salvage of failed trochanteric fracture fixation was technically more difficult. It is necessary to perform the preoperative surgical planning in detail.
