Techniques for the Management of Failed Surgery for Fractures of the Neck of Femur



Philip M Stott*, Sunny Parikh
Brighton and Sussex University Hospitals, Eastern Rd, Brighton, BN25BE, England


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© 2017 Stott et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Brighton and Sussex University Hospitals, Eastern Rd, Brighton, BN25BE, England; Tel: +01273696575; E-mail: philstott@hotmail.com


Abstract

Background:

The majority of modern surgical treatments for managing hip fracture in the elderly are successful and result in a very low rate of revision surgery. Subsequent operations are however occasionally necessary. Optimal management of complications such as infection, dislocation or failed fixation is critical in ensuring that this frail patient group is able to survive their treatment and return to near normal function.

Methods:

This paper is a discussion of techniques, tips and tricks from a high volume hip fracture unit

Conclusion:

This article is a technique-based guide to approaching the surgical management of failed hip fracture treatment and includes sections on revising both failed fixation and failed arthroplasty.

Keywords: Hip Fracture, Revision surgery, Internal fixation, Plate osteosynthesis, Dislocated hip hemiarthroplasty, Complications of surgery.