THA for Failed Internal Fixation of Proximal Femur Fractures and Retained Hardware

Hip fracture surgery is one of the most common orthopedic procedures performed today. With an aging population and wide prevalence of osteoporosis, the incidence of hip fractures is on the rise. When fixations for hip fractures fail, a total hip replacement is the usual treatment. Total hip replacement after failed fixation for proximal femur fractures is a difficult problem with its own challenges. Depending on the previous fracture type and the type of fixation used, specific issues must be addressed and principles followed to obtain good results from the salvage total hip replacement. Long term results of salvage hip replacement surgery are not as good as primary total hip replacement and the rate of complications is high.