Total hip-replacement arthroplasty performed for failed femoral
hemiarthroplasty achieved results that were as good as those of the same
operation done for other conditions. In forty-one patients who underwent
such a procedure and who were followed for an average of three years, there
was marked improvement in pain rating and range of motion. However, there
were more cases of progressive loosening of the prosthesis than occur
ordinarily, and three revisions had to be done. Fixation of the femoral
component with cement was complicated by the presence of the fibrous
membrane and bone deficiency preoperatively.