Revision of failed hip hemiarthroplasty. Classification, management, and follow-up

髋关节半置换术失败后的翻修:分类、处理和随访

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Abstract

BACKGROUND: Many types of failed hemiarthroplasties have been reported, but there is no classification of these failures. PATIENTS AND METHODS: Revisions of 217 cases of failed hemiarthroplasty were studied with an average follow-up of 6.2 years. Classification system based on site of problem, mode of failure, and type of revision, was introduced. RESULTS: In most cases, the intra-operative assessment of failure correlated with the preoperative classification (99%). At the last follow-up, there were 15/217 re-revisions; giving a success rate of 93%. CONCLUSION: This classification helps in choosing the appropriate revision method, leading to acceptable results.

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