Total hip replacement for hip fracture: Surgical techniques and concepts. Issue 10 (October 2016)

• Record Type: Journal Article
• Authors: Coomber, Ross; Porteous, Matthew; Hubble, Matthew J.W.; Parker, Martyn J.
• Is Part Of: Injury. Volume 47:Issue 10(2016)
• Page Start: 2060
• Page End: 2064
• Publication Date: 2016-10
• Subjects: Hip fracture -- Total hip replacement -- Instructional review; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2016.06.034
• Languages: English
• ISSNs: 0020-1383

Abstract

Abstract: When treating a hip fracture with a total hip replacement (THR) the surgical technique may differ in a number of aspects in comparison to elective arthroplasty. The hip fracture patient is more likely to have poor bone stock secondary to osteoporosis, be older, have a greater number of co-morbidities, and have had limited peri-operative work-up. These factors lead to a higher risk of complications, morbidity and perioperative mortality. Consideration should be made to performing the THR in a laminar flow theatre, by a surgeon experienced in total hip arthroplasty, using an anterolateral approach, cementing the implant in place, using a large head size and with repair of the joint capsule. Combined Ortho-geriatric care is recommended with similar post-operative rehabilitation to elective THR patients but with less expectation of short length of stay and consideration for fracture prevention measures.