Advances in the treatment of intracapsular hip fractures in the elderly

Leighton, Ross; Schmidt, Andrew H.; Collier, Pamela; Trask, Kelly

doi:10.1016/j.injury.2007.08.008

Cited by 61 publications

(43 citation statements)

References 41 publications

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“…3,4 A metaanalysis concluded that both fixation methods are comparable and there were insufficient data to recommend one over another. 5 In primary total hip replacement, cementless fixation of the femoral component is increasingly popular.…”

mentioning

confidence: 99%

Intra-Operative Fractures in Cementless Bipolar Hemiarthroplasty

Kuo

Tan

Lee

2015

J Orthop Surg (Hong Kong)

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Purpose. To compare patients with or without intra-operative fracture during cementless bipolar hemiarthroplasty. Methods. Records of 76 men and 202 women who underwent cementless bipolar hemiarthroplasty for femoral neck fractures were reviewed. Patients with and without intra-operative fractures and patients with different types of intra-operative fractures were compared. Results. Two men and 22 women aged 62 to 93 (mean, 80) years sustained intra-operative fractures at the lesser trochanter (n=18), the greater trochanter (n=5), and the subtrochanter (n=1). All 18 lesser trochanteric fractures and 4 of the greater trochanteric fractures were recognised intra-operatively and managed with cerclage wiring (n=21) or conversion to cemented hemiarthroplasty with cerclage wiring (n=1). The remaining 2 fractures were recognised postoperatively on radiographs and managed Intra-operative fractures in cementless bipolar hemiarthroplasty

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confidence: 99%

Intra-Operative Fractures in Cementless Bipolar Hemiarthroplasty

Kuo

Tan

Lee

2015

J Orthop Surg (Hong Kong)

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“…1 Intraoperative deaths (cardiac arrest) during hip arthroplasty occur infrequently and have been associated with bone cement (BCIS). 7,8 Patients with severe underlying cardiovascular In our series, the average operative time was 66.55 min (range 50-90min) and average blood loss 256.33ml (range: 150-450 ml). There was no intraoperative or immediate postoperative mortality.…”

Section: Discussion:-mentioning

confidence: 77%

Early Clinical Results of Modular Bipolar Hemiarthroplasty for Fractures of Femoral Neck.

Muzaffar¹,

khan²,

Kumar³

et al. 2018

IJAR

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“…We believe it is better to go for a procedure with prolonged recovery time than to do a procedure with negative effects on cardiopulmonary system in patients with already compromised system Functional evaluation with Harris Hip score at average 54 months (83.5) follow up was comparable with other studies by Yousuf Ozturukman et al, Marya et al and Hutt JRB et al [31][32][33] Many studies have shown good results with cementless total hip arthroplasty for fracture neck femur in elderly using hydroxyapatite or porous coated stems. [35][36][37][38][39][40][41] However due to high risk patients and limited ICU facility in our set up we opted for bipolar hemiarthroplasty and achieved satisfactory results.…”

Section: -21mentioning

confidence: 98%

Cementless bipolar hemiarthroplasty for displaced fracture neck of femur with modular hydroxyapatite coated stem in elderly with cardiopulmonary co-morbidities

Bhat

Ali²,

Gulzar

et al. 2017

Int J Res Med Sci

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Background: Bipolar hemiarthroplasty is one of the common procedures done for fracture neck of femur in elderly. Debate about Cemented or cementless is still on. Cementing increases perioperative mortality by causing significant hemodynamic changes or embolization. Patients with cardiopulmonary complications are at higher risk of cementing complications. We report our series of 31 cases of fracture neck of femur with cardiopulmonary diseases operated over 2 years with modular cementless bipolar hemiarthroplasty.Methods: 31 elderly patients with cardiopulmonary co-morbidities (age=75 to 97 years) with displaced femoral neck fractures were operated between January 2011 to December 2013. Cementless bipolar hemiarthroplasty using hydroxyapatite coated stem was done by single surgeon using same implant in all the patients through anterolateral approach. Clinical and radiological follow-up was done with mean follow up of 54 months (36-72 months).Results: Total 31 cases with cardiopulmonary comorbidities were operated. The average follow up was 54 months. No intraoperative mortality was seen. 3 patients had splitting of femur during canal preparation. 1 patient died due to cardiac arrest in the post-operative period. 1 patient had surgical site infection. 3 patients had hemodynamic abnormalities and 1 patient had significant limb length discripency (1.5 cm). 2 patients died in the follow up because of comorbidities. 27 patients reached to pre-injury status with average harris hip score of 86 at final follow up.Conclusions: Cementless bipolar hemiarthroplasty with hydroxyapatite coated stem is a good option for femoral neck fractures in elderly patients with cardiopulmonary complications without risking the harmful effects of cementing.

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Advances in the treatment of intracapsular hip fractures in the elderly

Cited by 61 publications

References 41 publications

Intra-Operative Fractures in Cementless Bipolar Hemiarthroplasty

Intra-Operative Fractures in Cementless Bipolar Hemiarthroplasty

Early Clinical Results of Modular Bipolar Hemiarthroplasty for Fractures of Femoral Neck.

Cementless bipolar hemiarthroplasty for displaced fracture neck of femur with modular hydroxyapatite coated stem in elderly with cardiopulmonary co-morbidities

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