Conversion hip arthroplasty for failed nailing of intertrochanteric fracture: Reflections on some important aspects.

World J Orthop

Department of Orthopedic Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.

Published: October 2024

In this editorial, I present my comments on the article by Solarino . Conversion hip arthroplasty, which is an optional salvage procedure performed following unsuccessful fixation of intertrochanteric femur fractures in elderly patients, entails more complex processes and higher rates of operative complications than primary arthroplasty. Hence, it is important to consider the appropriateness of the primary treatment choice, as well as the adequacy of nailing fixation for intertrochanteric fractures. This article briefly analyzes the possible factors contributing to the nailing failure of intertrochanteric fractures and attempts to find corresponding countermeasures to prevent fixation failures. It also analyzes the choice of treatment between nailing fixation and primary arthroplasty for intertrochanteric fractures.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514554PMC
http://dx.doi.org/10.5312/wjo.v15.i10.997DOI Listing

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