Specific Management
Subcapital Femoral Neck Metastasis
Fractures
Principle
- do very poorly with fixation
- hemiarthroplasty or THR
- stem should be 2.5 cortical diameters beyond any area of weakness
- THR if acetabulum involved
Fractures
Principle
- do very poorly with fixation
- hemiarthroplasty or THR
- stem should be 2.5 cortical diameters beyond any area of weakness
- THR if acetabulum involved
2-3% of cases
- doubles with infrequent operator
- second most common reason for revision after loosening
Australian Joint Registry
- dislocation accounts for 14.8% of revisions
Posterior dislocation
- hip flexed, adducted, IR