Table 2.
Surgical reinterventions following hip hemiarthroplasty
| Indication for failure | Mean time to failure (range) | Surgery performed | Outcome |
|---|---|---|---|
| Periprosthetic fracture (n=9) | 0.56 yrs (6 days – 3.0 yrs) |
ORIF with plates and cables (n=9) | No further surgery (n=7); re-fracture needing ORIF and long stem THR (n=1); removal of metalwork for pain and impingement (n=1) |
| Deep infection (n=8) | 0.18 yrs (15 days – 0.7 yrs) |
Removal of prosthesis, washout and debridement (n=8) | Further washout and debridement (n=5); no further surgery (n=3) |
| Unexplained pain (n=6) | 0.75 yrs (6 days – 1.5 yrs) |
THR (n=6) | No further surgery (n=5); dislocation of THR requiring closed reduction (n=1) |
| Aseptic loosening (n=5) | 1.2 yrs (0.5 – 2.2 yrs) |
THR (n=5) | No further surgery (n=5) |
| Dislocation (n=1) | 2 days | Open reduction (n=1) | Girdlestone arthroplasty (n=1) |
ORIF = open reduction and internal fixation; THR = total hip replacement