AI Article Synopsis
- The objective of the study was to assess early clinical outcomes of two-stage hip replacement in young patients who experienced failed internal fixation for femoral neck fractures.
- The study included 24 patients, equally divided by gender, with an average age of 42.9 years, and results were evaluated using the Harris score and X-ray analysis after surgery.
- After follow-up, most patients reported good outcomes with a high average Harris score of 90.9, and despite one dislocation, no serious complications were observed, indicating that the procedure can be effective.
Article Abstract
Objective: To evaluate the early clinical results of two stage hip replacement after failed internal fixation for femoral neck fractures in young patients.
Methods: From June 2008 to June 2010,24 patients with femoral head necrosis caused by failed internal fixation were treated with hip arthroplasty. Among them, 12 patients were male and 12 patients were female, with an average age of 42.9 years old (ranged, 18 to 58). According to Harris score and X-ray examination, the clinical result was evaluated.
Results: Twenty-three cases were followed up with an average age of 34.4 months (ranged, 25 to 48). After operation, 1 case complicated with the dislocation of hip joint. No deep infection of hip joint, prosthetic loosing or peripheral fracture was found. The mean Harris score was 90.9 +/- 4.3, and 18 obtained excellent results, 4 good and 1 fair.
Conclusion: Although treatment of femoral head necrosis with two stage hip replacement after failed internal fixation is difficult during operation, its early result is satisfactory.
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