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Table 4 Analysis of fracture types of THA after fixation failure

From: Salvage total hip arthroplasty after failed internal fixation for proximal femur and acetabular fractures

 

Previous fracture types

Femoral neck fracture

Intertrochanteric fracture

Acetabulum fracture

p value

No. of patients

38

37

30

Sex (male/female)

17/21

16/21

22/8*

0.025*

Age

63.3 (19.1)

73.6 (11.2)

48.7 (13)

< 0.001*

Operative time (minutes)

118.3 (52.8)

149.2 (51)

129.3 (45.4)

0.032*

Drop in hemoglobin level

2.1 (1.4)

2 (1.4)

2.6 (1.2)

0.15

Blood transfusion

2 (5.3%)

8 (21.6%)

4 (13.3%)

0.114

Amount of blood transfusion

0.1 (0.5)

1.4 (5)

0.4 (1.2)

0.104

Postoperative day to ambulate

2.2 (0.8)

2.2 (1)

2 (0.9)

0.488

Length of stay (day)

7.1 (1.3)

7.6 (1.4)

7.1 (1.3)

0.286

Persistent hip pain

28 (73.7%)

31 (83.8%)

16 (53.3%)

0.022*

Prosthetic dislocation

3 (7.9%)

5 (13.5%)

2 (6.7%)

0.581

Wound poor healing

0 (0%)

3 (8.1%)

0 (0%)

0.059

Superficial infection

0 (0%)

1 (2.7%)

0 (0%)

0.395

Deep infection

0 (0%)

3 (8.1%)

1 (3.3%)

0.184

Reoperation

3 (7.9%)

6 (16.2%)

2 (6.7%)

0.362

THA revision

1 (2.6%)

3 (8.1%)

2 (6.7%)

0.573

  1. Age, operative time, drop in hemoglobin level, postoperative day to ambulate, amount of blood transfusion, and length of stay were expressed as the mean (standard deviation)
  2. Sex, hip pain, prosthetic dislocation, superficial infection, deep infection, poor wound healing, reoperation, readmission, blood transfusion, and THA revision were expressed as numbers (percentages)
  3. Postoperative day to ambulate was defined as walking with a walker for at least 10 m without others' assistance
  4. Persistent hip pain was defined as still having significant hip pain 3 months after THA that needed medication for pain control
  5. DHS Dynamic hip screw system
  6. *p < 0.05