Reviving mobility: conversion arthroplasty as a solution for failed proximal femur fixation

Utkarsh Tiwari; Mohan Choudhary Bakthavatchalam; Kevin Lourdes; Arjun Ganesh; Velmurugan Padmanaban

doi:10.18203/issn.2455-4510.IntJResOrthop20251142

Authors

Utkarsh Tiwari Department of Orthopaedic Surgery, SRMC, Porur, Chennai, Tamil Nadu, India
Mohan Choudhary Bakthavatchalam Department of Orthopaedic Surgery, SRMC, Porur, Chennai, Tamil Nadu, India
Kevin Lourdes Department of Orthopaedic Surgery, SRMC, Porur, Chennai, Tamil Nadu, India
Arjun Ganesh Department of Orthopaedic Surgery, SRMC, Porur, Chennai, Tamil Nadu, India
Velmurugan Padmanaban Department of Orthopaedic Surgery, SRMC, Porur, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251142

Keywords:

Conversion arthroplasty, Intertrochanteric fracture, Implant failure, Non-union

Abstract

Proximal femur fractures are very common both in young and old age group and are usually managed surgically. In case of failed fixations, young patients are managed with subsequent attempts of osteosynthesis to achieve union and maintain integrity of femoral head. However, in case of elderly patients, arthroplasty of hip joint may be considered keeping in mind the poor bone quality, loss of bone or injury to the articular cartilage. This study is aimed to assess the outcomes and consequences of conversion arthroplasty following unsuccessful fixation of intertrochanteric fractures. We report 3 cases of proximal femur fixation, who were initially managed with intramedullary nailing subsequent to trauma. But patients post operatively developed complications like implant failure, non-unions and post traumatic arthritis of hip for which conversion arthroplasty was done as a rescue procedure following failed fixation.

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