SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Outcomes and complications of conversion THA after internal fixation of proximal femur fractures: a systematic review.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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Who cites it
3 citing papers in PubMed.
- Radiological Outcomes of Reamed Short Proximal Femoral Nailing in Intertrochanteric Fractures in Patients Aged 50 Years and Above.Journal of orthopaedic case reports · 2026Article
- Salvage total hip arthroplasty after internal fixation compared with acute total hip arthroplasty for fracture: a cohort study based on 32,960 cases from the Dutch Arthroplasty Register.Acta orthopaedica · 2026Article
- [One- or two-stage approach after osteosynthesis failure in proximal femur fracture-a narrative review].Orthopadie (Heidelberg, Germany) · 2026Review
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe goal of this systematic review is to analyse clinical results and complications of conversion total hip arthroplasty (cTHA) after failure of internal fixation (IFix), distinguishing according to the initial fixation method: intramedullary nail, plate/screw systems, and cannulated screws.
methodsPubMed, EMBASE, and Cochrane database were firstly accessed in April 2025, and lastly checked on July 2025, to identify studies addressing patients who underwent to cTHA after sustaining proximal femoral fractures with subsequent IFix. The PRISMA guidelines were followed, and the quality of studies was assessed. Data were extracted from the identified articles and summarised.
resultsTwelve retrospective studies on 1,260 patients analyzed complications of conversion to total hip arthroplasty (cTHA) after internal fixation of the femur. After fixation with an intramedullary nail, cTHA showed a 6.01% dislocation rate, 3.14% periprosthetic fractures, 2.59% aseptic loosening, and 3.41% periprosthetic infections, with a 3.82% reoperation rate. Fixation with a plate/screw system resulted in fewer complications but a higher incidence of periprosthetic fractures (11.57%). A notably higher dislocation rate of 10.04% was observed following fixation with cannulated screws.
conclusionThis review confirms that cTHA after IFix of proximal femoral fractures is associated to an elevated rate of perioperative complications, with a higher incidence when cTHA is performed after intramedullary nail fixation; a higher incidence of intraoperative periprosthetic fractures is observed on those patients treated by plate/screws system at first surgery. Unexpectedly, a higher rate of implant dislocations is recorded in those patients undergoing cTHAs after IFix by cannulated screws.
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