Techniques for the Management of Failed Surgery for Fractures of the Neck of Femur

BACKGROUND: The majority of modern surgical treatments for managing hip fracture in the elderly are successful and result in a very low rate of revision surgery. Subsequent operations are however occasionally necessary. Optimal management of complications such as infection, dislocation or failed fixation is critical in ensuring that this frail patient group is able to survive their treatment and return to near normal function. METHODS: This paper is a discussion of techniques, tips and tricks from a high volume hip fracture unit CONCLUSION: This article is a technique-based guide to approaching the surgical management of failed hip fracture treatment and includes sections on revising both failed fixation and failed arthroplasty.