Revision of failed hip hemiarthroplasty. Classification, management, and follow-up

Elsayed Morsi; Mohamed Elsawy Habib; Adel Elseedy; Taher Eid

doi:10.1016/j.jor.2016.01.003

Revision of failed hip hemiarthroplasty. Classification, management, and follow-up

J Orthop. 2016 Feb 22;13(2):63-8. doi: 10.1016/j.jor.2016.01.003. eCollection 2016 Jun.

Authors

Elsayed Morsi¹, Mohamed Elsawy Habib¹, Adel Elseedy¹, Taher Eid¹

Affiliation

¹ Department of Orthopedic Surgery, Faculty of Medicine, Menoufia University, Shebeen El-Kom, Menofia Governorate 32721, Egypt.

Abstract

Background: Many types of failed hemiarthroplasties have been reported, but there is no classification of these failures.

Patients and methods: Revisions of 217 cases of failed hemiarthroplasty were studied with an average follow-up of 6.2 years. Classification system based on site of problem, mode of failure, and type of revision, was introduced.

Results: In most cases, the intra-operative assessment of failure correlated with the preoperative classification (99%). At the last follow-up, there were 15/217 re-revisions; giving a success rate of 93%.

Conclusion: This classification helps in choosing the appropriate revision method, leading to acceptable results.

Keywords: Classification; Failure; Hemiarthroplasty; Hip; Revision.