Foot and Ankle
Seyed Alireza Aminjavaheri; Seyed Hossein Shafiei; Mohammad Ali Ghasemi; Alireza Moharrami; Mir Mansour Moazen Jamshidi; Seyed Mohammad Javad Mortazavi
Abstract
Introduction: The risk of femoral neck fracture increases in the End Stage Renal Disease (ESRD) patients who underge hemodialysis. The aim of this study was to describe our experience with the treatment of femoral neck fracture in this particular group of patients. Method: In a retrospective study, between ...
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Introduction: The risk of femoral neck fracture increases in the End Stage Renal Disease (ESRD) patients who underge hemodialysis. The aim of this study was to describe our experience with the treatment of femoral neck fracture in this particular group of patients. Method: In a retrospective study, between January 2010 to December 2015, there were 16 displaced femoral neck fracture in 12 haemodialytic ESRD patient. All patients underwent total hip arthroplasty via direct anterior approach (three cementless and 9 cemented). No closed suction drain was used. Follow up regime was at 3,6 and 12 month and annually thereafter. Result: All patients were satisfied with the results of total hip arthroplasty. At the time of the final follow-up of 22 months (2-47) months, all the hips in the 12 haemodialytic patients functioned well without any loosening, and with a Harris hip score (HHS) of 90(82–100). Of those patients who received cementless components: one patient showed loosening of femoral component on the right and then left hip one year after surgery. He underwent revision of femoral component to a cemented one. The other complications include one greater trochanteric fracture, one intraoperative distal femoral fracture, one postoperative hematoma formation and one superficial surgical site infection. Conclusion: In this small series, relatively high complication rate is observable in cases of ESRD with femoral neck fracture treated by hip Arthroplasty. The use of cemented femoral sterns is preferred and extra caution is advised to avoid fracture in such osteoporotic bones.
Mir Mansour Moazen Jamshidi; Alireza Moharrami; Seyed Mohammad Javad Mortazavi
Abstract
AbstractTotal hip Arthroplasty (THA) is an advanced surgical modality, which reduces hip pain resulting from destruction or degenerative change. THA may be associated with complications, such as instability. Instability is the second common reason for revision surgery. The etiology of instability can ...
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AbstractTotal hip Arthroplasty (THA) is an advanced surgical modality, which reduces hip pain resulting from destruction or degenerative change. THA may be associated with complications, such as instability. Instability is the second common reason for revision surgery. The etiology of instability can be factors like prosthetic malposition, impingement, and low soft tissue tension around the hip and also polyethylene wear. In this paper, we will review the common causes of instability following THA in various phases, and suggest the strategies to prevent instability following THA.
