Endoprosthesis as Treatment for Necrosis and Pseudarthrosis After Transcervical Femoral Fractures: A Clinical Review

Abstract

This report concerns 105 patients who developed painful necrosis or pseudarthrosis after nailed transcervical femoral fractures and were treated by Moore's arthroplasty. The mean age at the time of secondary arthroplasty was 68 years, the operation being performed on average 2 years after the fracture and nailing. The mortality within 6 weeks of operation was 3 per cent. Complications not producing late sequelae were seen in 11.4 per cent of cases, and complications producing late sequelae occurred in 5.7 per cent. At the follow-up examination 2 to 8 years after arthroplasty (mean 3.7 years), 37 per cent of the patients were completely free from pain, and the functional result was acceptable in 91 per cent. The remaining 9 per cent had other debilitating illnesses. The results are compared with other reports in the literature.

Key Words:

• femoral neck fractures
• pseudarthrosis of femoral neck
• necrosis of femoral head
• hip joint
• joint prosthesis
• arthroplasty
• postoperative complications
• follow-up studies