Hip Arthroplasty in Patients with Femoral Neck Pseudarthrosis

Full Text


Hip arthroplasty outcomes for 202 patients, aged 40-88 years, with femoral neck pseudarthrosis were analyzed. All patients were divided into 3 groups depending on the type of treatment (surgical or conservative) and terms of the removal of previously implanted metal constructions (before or during surgical procedure). Good and satisfactory results by Harris hip score were achieved in 94.6% of observations. The reasons of postoperative complications were considered for every group of patients. It was stated that in 30 (14.9%) cases the formation of pseudarthrosis resulted from ungrounded use of osteosynthesis in Garden III and IV fractures.

Full Text

Restricted Access

About the authors

G. M Kavalerskiy

I.M. Sechenov First Moscow State Medical University

V. Yu Murylyov

I.M. Sechenov First Moscow State Medical University

G. G Rubin

S. P. Botkin City Clinical Hospital

Email: rgg83@mail.ru

Ya. A Rukin

I.M. Sechenov First Moscow State Medical University

P. M Elizarov

I.M. Sechenov First Moscow State Medical University

A. V Muzychenko

I.M. Sechenov First Moscow State Medical University


  1. Konetsky M., Miller J., Tripp C. Femoral neck stress fracture. J. Orthop. Sports Phys. Ther. 2013; 43 (4): 275.
  2. Moroni A., Hoque M., Waddell J.P., Russell T.A., Wippermann B., DiGiovanni G. Surgical treatment and management of hip fracture patients. Arch. Orthop. Trauma Surg. 2014; 134 (2): 277-81.
  3. Blomfeldt R., Tornkvist H., Ponzer S., Soderqvist A., Tidermark J. Internal fixation versus hemiarthroplasty for displaced fractures of the femoral neck in elderly patients with severe cognitive impairment. J. Bone Joint Surg. Br. 2005;87(4):523-9.
  4. Benabdeslam A., Berrady M.A., Khermaz M., Mahfoud M., Berrada M.S., M. Elyaacoudi.Pseudarthosis of the femoral neck treated with total hip arthroplasty (about 14 cases). Int. J. Sci Tech. Res. 2014; 3 (6): 196-200.
  5. Raaymakers E.B., Marti R.K. Nonunion of the femoral neck: Possibilities and limitations of the various treatment modalities. Indian J.Orthop.2008; 42: 13-21.
  6. Кавалерский Г.М., Черепанов В.Г., Коркунов А.Л., Лычагин А.В., Середа А.П. Дегенеративно-дистрофические поражения пояснично-крестцового отдела позвоночника при HIP-SPINE синдроме: хирургическое лечение. Кафедра травматологии и ортопедии. 2013; 3 (7): 4-11.
  7. Mears S.C. Classification and surgical approaches to hip fractures for nonsurgeons. Clin.Geriatr. Med. 2014; 30 (2): 229-41.doi: 10.1016/j.cger.2014.01.004.
  8. Мурылев В.Ю., Терентьев Д.И., Елизаров П.М., Рукин Я.А., Казарян Г.М. Тотальное эндопротезирование тазобедренного сустава с использованием танталовых конструкций. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2012; 1: 24-9.
  9. Bobyn J.D., Hacking S.A., Chan S.P., et al. Characterization of new porous tantalum biomaterial for reconstructive orthopaedics. 66th Ann. Meeting of the AAOS. 1999; Anaheim, CA.
  10. Karageorgiou V., Kaplan D. Porosity of biomaterial scaffolds and osteogenesis. Biomaterials. 2005;26:5474-91.
  11. Black J. Biological performance of tantalum. Clin. Mater. 1994;16:167-73.
  12. Meneghini R.M., Ford K.S., McCollough C.H., Hanssen A.D., Lewallen D.G. Bone remodeling around porous metal cementless acetabular components. J. Arthroplasty. 2010;25 (5): 741-7.
  13. Unger A.S., Lewis R.J., Gruen T. Evaluation of a porous tantalum uncemented acetabular cup in revision total hip arthroplasty: clinical and radiological results of 60 hips. J. Arthroplasty. 2005; 20 (8): 1002-9.
  14. Мурылев В.Ю., Холодаев М.Ю., Рубин Г.Г., Елизаров П.М., Рукин Я.А. Первичное эндопротезирование тазобедренного сустава с применением вертлужных компонентов из трабекулярного тантала. Врач. 2013; 1: 73-7.
  15. Гиршин С.Г. Клинические лекции по неотложной травматологии: Учебное пособие. Санкт-Петербург: Азбука; 2004: 125-9.



Abstract: 124


Article Metrics

Metrics Loading ...



  • There are currently no refbacks.

Copyright (c) 2016 Eco-Vector

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies