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Non-weight bearing
1%
6/1021
Valgus proximal femoral osteotomy
7%
69/1021
Total hip arthroplasty
81%
827/1021
Revision open reduction and internal fixation
10%
105/1021
Proximal femoral resection
9/1021
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Figure A shows superior cutout of the lag screw from the sliding hip screw as well as the superior cannulated screw used for an "antirotation" device. In the referenced review article by Haidukewych and Berry, salvage of failed treatment of hip fractures in the elderly is limited by bone quality and comorbidities. They recommend total hip arthroplasty in this instance to restore function, decrease pain, and limit periods of immobilization. They mention that the major challenges for arthroplasty are: assessing the need for acetabular resurfacing, selecting the femoral implant, and managing the greater trochanter.
3.1
(27)
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