The Role of Arthroplasty in Acute and Failed Fracture Surgery Around the Hip.

Abstract

Arthroplasty plays a crucial role in the management of both acute fractures and failed fracture surgeries around the hip, particularly in the aging population. It is important to explore the indications, benefits, and challenges of total hip arthroplasty in various clinical scenarios, including geriatric acetabular fractures, proximal femur fractures, and cases of failed hip fracture surgery. Acute total hip arthroplasty is increasingly recognized as a viable alternative to open reduction and internal fixation in elderly patients with poor bone quality or preexisting arthritis. When treating patients with failed hip fracture surgeries, total hip arthroplasty serves as a reliable salvage procedure but requires meticulous planning and advanced surgical techniques to address complications such as bone loss, malunion, and infection. The management of fracture-related infections is particularly complex, often necessitating a staged approach to optimize outcomes.

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