October 13, 2025Orthopaedic SurgeryOpen Access

Effects and Complications of Hip Arthroplasty After Failure of Internal Fixation in Stable and Unstable Intertrochanteric Femoral Fractures

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Discussion

Retrospective analysis shows complications and function differ in stable versus unstable intertrochanteric fractures.

Hip arthroplasty significantly improved joint function in both stable and unstable intertrochanteric fractures.
The stable group had an average HHS improvement of 42.05 compared to 38.81 in the unstable group, indicating better outcomes.
Postoperative complications were significantly higher in the unstable group at 28.57%, compared to 10.64% in stable fractures.
Patients with unstable fractures experienced more severe pain following hip arthroplasty, indicating a need for targeted management.

Li et al. (2025) studied this question.

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