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This case series evaluated clinical outcomes, complications, and surgical strategies after failed internal fixation, emphasizing adjuncts including Prolene mesh, augmentation plates, cerclage wires, and bone grafting. Ten patients treated via the lateral Hardinge approach showed excellent-to-good outcomes with limited minor complications.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/total-hip-arthroplasty-in-failed-hip-fractures-a-case-series/449867/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/total-hip-arthroplasty-in-failed-hip-fractures-a-case-series/449867.png","ImageObject",300,407,{"name":92,"@type":93},"dawugda","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is primary THA often required after failed hip fracture fixation?","Question",{"text":112,"@type":113},"Failed fixation around the hip can lead to non-union, malunion, implant failure, or post-traumatic arthritis. Primary THA is used as a definitive salvage when reconstruction of the failed fixation is no longer adequate.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What adjuncts were emphasized for complex salvage THA in this case series?",{"text":117,"@type":113},"The study highlights adjuncts such as Prolene mesh, augmentation plates, cerclage wires, and bone grafting to support stability and reconstruction in difficult cases.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main outcomes and complications reported for the 10 patients?",{"text":121,"@type":113},"All 10 patients achieved excellent to good outcomes with pain relief and functional improvement. Minor complications included two superficial infections and three cases of transient abductor weakness, with no reported readmissions.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},449867,1790794144,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},3985747870947,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Original Article  Journal of Orthopaedic Case Reports 2025 December:15( 12) :Page 361-365   \nTotal Hip Arthroplastyin Failed Hip Fractures, a Challenge with Fruitful  \nOutcome: A Case Series  \nRPrabhakar1, HVarrdhaman Dhariwal1, KM Sivaprasad1, Surya Subramanian1  \nLearning Point of the Article:  \nPrimary total hip arthroplasty in failed fracture fixation around the hip-complicated,yet rewarding.  \nAbstract  \nIntroduction: Failed fracture fixation around the hip presents a major challenge in orthopedic surgery. Primary total hip arthroplasty (THA)is often required as a definitive salvage procedure following complications such as non-union, malunion, implant failure, or post-traumatic arthritis.  \nObjectives: This study aims to evaluate the clinical outcomes, complications, and surgical strategies of primary THA performed as a salvage procedure following failed internal fixation of fractures around thehip, with emphasis onthe use ofadjuncts such asProlene mesh, augmentation plates, cerclage wires, and bone grafting.  \nCase Series: This case series was conducted at Government Stanley Medical College and Hospital over a period of 2 years. Ten patients with failed hip fracture fixation underwent THA through the lateral Hardinge approach. Pre-operative imaging included radiographs and computed tomography scans. Post-operative assessments wereperformed using the Harris Hip Score at regular intervals up to 2 years.  \nResults: All 10 patients experienced excellent to good outcomes in terms of pain relief and functional improvement. Augmentation implants were used in selective cases. Minor complications included two superficial infections and three cases of transient abductor weakness. Noreadmissionswere reported.  \nConclusion: Primary THA is an effective salvage strategy following failed hip fracture fixation, with favorable outcomes when thorough preoperative planning and appropriate surgical techniques are employed. Augmentation devices playa keyrole in achieving optimal biomechanical restoration in complex cases.  \nKeywords: Totalhip arthroplasty, failed fixation, post-traumatic arthritis, augmentationimplants, salvage surgery.  \nIntroduction  \nTotal hip replacement following failed previous hip surgeries presents oneof the most challenging scenariosin orthopedics [1, 2]. These cases may involve failed internal fixation, osteotomies, acetabular fractures, or previous joint-preserving procedures. Key challenges include altered anatomy, compromised bone  \nstock, retained hardware, and scarred tissue planes, all ofwhich complicate surgical exposure and component placement [3, 4]. Effective reconstruction requires extensive pre-operative planning, advanced imaging, and consideration of infection risksand systemic comorbidities [4]. The surgical approach often needs to be extensile and adaptable. Implant selection must  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6560](https://doi.org/10.13107/jocr.2025.v15.i12.6560) | Author’s Photo Gallery |  |  |  |\n| --- | --- | --- | --- | --- |\n|  | | \u003Cbr>Dr. H Varrdhaman Dhariwal | | \u003Cbr>Dr. Surya Subramanian |\n|  | \u003Cbr>1Department of Orthopaedics, Stanley Medical College, Chennai, Tamil Nadu, India.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. HVarrdhaman Dhariwal,\u003Cbr>Department of Orthopaedics, Stanley Medical College, 5 Nachiappa Street, Mylapore, Chennai-600004, Tamil Nadu, India. [Email:](Email: varrdh@gmail.com)[ varrdh@gmail.com](Email: varrdh@gmail.com) |  |  |  |\n| Submitted: 16/09/2025; Review: 26/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  |  |\n| DOI: [https://doi.org/10.13107/jocr.2025.v15.i12.6560](https://doi.org/10.13107/jocr.2025.v15.i12.6560)\u003Cbr>© The Author(s). 2025 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ([https://creativecommons.org/licenses/by-nc/4.0/](https://creativecommons.org/licen","cbCaisSH2bSh4CB1","https://ap.wps.com/l/cbCaisSH2bSh4CB1","pdf",8481249,"English","# Introduction\n# Objectives\n# Case Series\n# Materials and Methods\n## Surgical technique\n# Results\n# Conclusion\n# Keywords","[{\"question\":\"Why is primary THA often required after failed hip fracture fixation?\",\"answer\":\"Failed fixation around the hip can lead to non-union, malunion, implant failure, or post-traumatic arthritis. Primary THA is used as a definitive salvage when reconstruction of the failed fixation is no longer adequate.\"},{\"question\":\"What adjuncts were emphasized for complex salvage THA in this case series?\",\"answer\":\"The study highlights adjuncts such as Prolene mesh, augmentation plates, cerclage wires, and bone grafting to support stability and reconstruction in difficult cases.\"},{\"question\":\"What were the main outcomes and complications reported for the 10 patients?\",\"answer\":\"All 10 patients achieved excellent to good outcomes with pain relief and functional improvement. Minor complications included two superficial infections and three cases of transient abductor weakness, with no reported readmissions.\"}]","Total Hip Arthroplasty in Failed Hip Fractures - A Case Series | PDF",1790731328,13]