ArticleArthroplasty today2018
Salvage of failed internal fixation of intertrochanteric hip fractures: clinical and functional outcomes of total hip arthroplasty versus hemiarthroplasty.
Article in Arthroplasty today, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Complication Analysis of Conversion Hip Arthroplasty after Failed Intertrochanteric Fracture Fixation: A Meta-Analysis.Clinics in orthopedic surgery · 2026Pooled it
- Revision and postoperative complication rates of conversion total hip arthroplasty after cephalomedullary nailing of intertrochanteric femur fractures: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Functional outcomes of salvage hip arthroplasty in failed proximal femoral nails: a retrospective cohort study.Journal of trauma and injury · 2026Article
- Four-Time Failed Subtrochanter Femur Fracture Fixation in Elderly: What's Next - A Case Report.Journal of orthopaedic case reports · 2025Article
- Key Decision-Making in Post-Failed Internal Fixation of Intertrochanteric Fractures Hip Arthroplasty: A Multicenter Retrospective Study on Fracture Healing's Impact on Femoral Component Selection.Orthopaedic surgery · 2025Article
- Conversion hip arthroplasty for failed nailing of intertrochanteric fracture: Reflections on some important aspects.World journal of orthopedics · 2024Article
- Outcomes of conversion total hip arthroplasty for failed fixation of intertrochanteric fractures with monoblock distal-loading reconstruction stem.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Total hip arthroplasty following the failure of intertrochanteric nailing: First implant or salvage surgery?World journal of orthopedics · 2023Article
- Effects of surgical treatment modalities on postoperative cognitive function and delirium in elderly patients with extremely unstable hip fractures.World journal of psychiatry · 2023Article
- Conversion total hip arthroplasty following extracapsular hip fracture fixation with a cephalomedullary device: a comprehensive review.Archives of orthopaedic and trauma surgery · 2023Review
- Hip Replacement after Proximal Femur Failed Osteosynthesis: our experience.Acta bio-medica : Atenei Parmensis · 2022Article
- Outcomes After Revision Fixation With Cement Augmentation for Failed Intertrochanteric Fracture Fixation in Older Adult Patients.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail.Journal of clinical medicine · 2021Article
- Surgical Treatment of Internal Fixation Failure of Femoral Peritrochanteric Fracture.Orthopaedic surgery · 2021Article
- The Cost and Consequences of Failed Osteosynthesis of Intertrochanteric Femur Fractures: A Matched Cohort Study.Indian journal of orthopaedics · 2021Article
- Cementless total hip arthroplasty for failed treatment of subtrochanteric fracture.BMC musculoskeletal disorders · 2021Article
- Revision surgery due to failed internal fixation of intertrochanteric femoral fracture: current state-of-the-art.BMC musculoskeletal disorders · 2020Review
- Total hip arthroplasty for intertrochanteric fracture fixation failure.European journal of medical research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFailed internal fixation of intertrochanteric (IT) hip fractures presents a significant challenge in the elderly, osteoporotic population. Conversion total hip arthroplasty (cTHA) and hemiarthroplasty (cHA) are both accepted salvage operations for failed IT fracture fixation, though limited clinical data exist regarding the optimal treatment between these procedures.
methodsA systematic review of 3 databases (PubMed, Cochrane, and Embase) was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Inclusion criteria were English-language studies that compared clinical or functional outcomes after failed fixation of IT fractures with total hip arthroplasty and hemiarthroplasty in adult subjects (>18 years of age). Data regarding research design, surgical technique, and clinical or functional outcomes were obtained and analyzed from eligible studies using a Mantel-Haenszel random-effects analysis model.
resultsSix studies with 188 patients (100, total hip arthroplasty; 88, hemiarthroplasty) met inclusion and exclusion criteria. There was no significant difference between cTHA and cHA for postoperative dislocation, reoperation, infection, intraoperative fractures, postoperative fractures, or stem subsidence. The mean change in Harris Hip Scores was significantly higher (
conclusionsDespite potential advantages of cTHA or cHA for failed IT fractures, there were no differences in complications between either of the salvage procedures. Our analysis found a slight advantage in functional outcomes (Harris Hip Score) for cTHA at a minimum 14-month follow-up. Our study suggests that cTHA and cHA are both effective salvage procedures. Additional prospective studies are warranted to further delineate outcomes after salvage arthroplasty performed for failed IT fracture fixation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.