Mont and Maar evaluated femoral fractures ipsilateral to a total hip prosthesis. The outcome following therapy could be graded based on clinical and functional parameters. The authors are from the Good Samaritan Hospital in Baltimore.
Parameter
Satisfactory
Unsatisfactory
anatomic alignment
aligned
malaligned
fracture healing
united
malunion or nonunion
functional status
return to prefracture level
worse than prefracture level
mobilization
early
delayed
pain
return to prefracture level
worse than prefracture level
stability of prosthesis
stable
unstable
continued therapy
none required
ongoing or need for surgical revision
complications
none
refracture, clinical deterioration, death
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