Conversion arthroplasty after failed extracapsular hip fracture fixation is associated with high complication rates

Background/Aim: There is no standard treatment of choice that addresses all extracapsular fractures, which account for approximately half the elderly hip fractures. Arthroplasty mostly favored secondary to unsuccessful fixation or unstable primary However, conversion arthroplasty complication rates are high in literature. This study compares performed after and Methods: In this retrospective study, we compared first-year results groups underwent (cHA) arthroplasties (pHA) cHA group, patients were indicated operation if there was a failure fractures (n=44). pHA causes cut-out lag screws (54.5%), cut-through (9.1%), non-union (27.3%), osteonecrosis femoral heads (9.1%). While total replacement applied ten group hemiarthroplasty 34 patients. comparing groups, duration operation, amount bleeding, intraoperative complications, post-operative mobilization capacities, functional status, mortality used. Results: 44 both groups. The surgical time (134.3 [34.5)] vs. 66 [16], [P<0.001]), bleeding (1000 ml [400] 300ml [200], need red blood cell transfusion operations (80% 32%, frequency femur fracture (30% 0%, [P<0.001]) larger longer (P<0.001). 14 complications requiring intervention observed 12 CHA 1st year, four group. difference (3 3, [P =1]), capacities (5.9 [2.1] 5.7 [2.0], [P=0.597]), status (12.5 [3.3] 13.0 [2.7], [P=0.434]) between Conclusion: as surgery has higher risk than We believe cases prone implant failure, non-union, restricted because patient fracture-type reasons should be treated with arthroplasty.