ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2022
Conversion of failed internal fixation in proximal femur fractures using calcar-guided short-stem total hip arthroplasty.
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Outcomes and complications of conversion THA after internal fixation of proximal femur fractures: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- Conversion total hip arthroplasty following failed proximal femoral fixation: current concepts review.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2026Review
- Outcome differences between conversion to THA for traumatic ONFH after failed internal fixation and primary THA for nontraumatic ONFH in patients under 55: a retrospective case-control study.BMC musculoskeletal disorders · 2026Article
- Effects and Complications of Hip Arthroplasty After Failure of Internal Fixation in Stable and Unstable Intertrochanteric Femoral Fractures.Orthopaedic surgery · 2025Article
- Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?Journal of orthopaedic case reports · 2025Article
- Does Stem Design for Conversion Total Hip Arthroplasty From Previous Short Intramedullary Nail Predispose to Fracture?Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 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
- Revision of Failed Short Stems in Total Hip Arthroplasty.Journal of clinical medicine · 2024Article
- Calcar-guided short-stem total hip arthroplasty in fractures of the femoral neck: a prospective observational study of 68 hips.Archives of orthopaedic and trauma surgery · 2024Observational
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeReoperations for secondary osteoarthritis, osteonecrosis, or hardware failure following failed internal fixation after intertrochanteric fracture (ITF) or femoral neck fracture (FNF) are common. An effective salvage treatment often involves complete removal of the hardware followed by total hip arthroplasty (THA). Almost no data are available regarding conversion to short-stem THA. This study aimed to evaluate clinical and radiological outcomes, potential complications, and the survival rate of short-stem THA following revision surgery.
methodsWe investigated 27 patients who underwent conversion THA using a calcar-guided short stem. Patient-reported outcome measurements were obtained, including the Harris hip score, the Western Ontario and McMaster Universities Osteoarthritis Index, as well as pain and satisfaction on the visual analogue scale. Radiological follow-up was also performed.
resultsWe identified 18 (66.7%) patients diagnosed with FNF and 9 (33.3%) patients with ITF. Clinical and radiological outcomes were satisfactory at the last follow-up (30.56 ± 11.62 months). One patient required early revision surgery due to dislocation and greater trochanter fracture. At the last follow-up, none of the short stems required revision. No other major complications occurred.
conclusionGiven the low rate of complications and 100% survival, our findings indicate that short stems for conversion THA due to failed internal fixation may be considered an option in a properly selected patient population. However, it should not be considered a standard procedure and should only be performed by experienced surgeons.
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