Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (17): 3071-3074.doi: 10.3969/j.issn.1673-8225.2011.17.009

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Treatment of failed internal fixation for adult-aged femoral neck fracture with combined total hip arthroplasty with cementless cup and ontiboiotic cemented femoral stem in 19 cases

Hu Kong-zu1, Gui Bin-jie1, Bu Hai-fu1, Zhou Jian1, Zhang Xian-long2, Shen Hao2   

  1. 1Section I, Department of Orthopedic Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei  230022, Anhui Province, China
    2Department of Orthopedics, Sixth People’s Hospital of Shanghai Jiao Tong University, Shanghai  230022, China
  • Received:2010-11-25 Revised:2011-03-23 Online:2011-04-23 Published:2011-04-23
  • Contact: Bu Hai-fu, Professor, Chief physician, Section I, Department of Orthopedic Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China gukezazh@yahoo.com.cn
  • About author:Hu Kong-zu☆, Doctor, Attending physician, Section I, Department of Orthopedic Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China hukongzu@yahoo.com.cn

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Abstract:

BACKGROUND: Surgical treatment of failed internal fixation for adult-aged femoral neck fracture is challenging. The optimal procedure has not been defined. 
OBJECTIVE: To study the effect of total hip arthroplasty with cementless cup and antibiotic cemented femoral stem in the treatment of failed internal fixation for adult-aged femoral neck fracture.
METHODS: Nineteen cases with failed internal fixation for adult-aged femoral neck fracture were performed total hip arthroplasty with cementless cup and antibiotic cemented femoral stem. The surgical characteristics and results were recorded.
RESULTS AND CONCLUSION: The operation time was (110±55) minutes, intra-operative blood loss was (510±60) mL, and post-operative blood loss was (310±40) mL. All the 19 cases were followed up. No implant loosening signs were found in X-ray films. The hip function was evaluated with Harris scores system, and the scores were improved postoperatively (P < 0.05). The results were graded as excellent in 10, good in 8, fair in 1 and poor in 0, and the excellent and good rate was 94.7%. Despite the technical challenges, total hip arthroplasty with cementless cup and antibiotic cemented femoral stem is effective to treat failed internal fixation for adult-aged femoral neck fracture.

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