Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly Has a Low Conversion Rate

Grosso, Matthew J.; Danoff, Jonathan R.; Murtaugh, Taylor; Trofa, David P.; Sawires, Andrew N.; Macaulay, William

doi:10.1016/j.arth.2016.06.048

Cited by 52 publications

(34 citation statements)

References 32 publications

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“…The incidence of periprosthetic fracture following cementless HA in large cohort study was 2.5% at 2-year follow-up 26) . In our study, one periprosthetic fracture (1.6%) occurred during follow-up period.…”

Section: Discussionmentioning

confidence: 92%

Fixation of Trochanteric Fragments in Cementless Bipolar Hemiarthroplasty of Unstable Intertrochanteric Fracture: Cerclage Wiring

2017

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PurposeBipolar hemiarthroplasty (HA) is an option for the treatment of unstable intertrochanteric fracture in elderly patients. There is a raising concern regarding cable-grip related complications for the fixation of trochanteric fragments. Therefore, the aim of this study was to evaluate outcome of cementless HA with fixation for the trochanteric fragments using monofilament wires in unstable intertrochanteric fracture.Materials and MethodsWe reviewed 92 cementless bipolar HAs using a grit-blasted long stem design for unstable intertrochanteric fractures in 91 elderly patients with a mean age of 81.7 years. During the arthroplasty, trochanteric fracture fragments were fixed using 1 or 2 vertical wires and transverse wires. We evaluated the clinical outcomes such as abductor power, ambulatory ability and wire-related complications, and radiologic outcomes including the union of the trochanteric fragment and subsidence of stem.ResultsSixty-two patients were followed for a minimum of 2 years (mean, 59 months) postoperatively. The mean abductor power and Koval category was 4.1 (range, 3 to 5) and 4.6 (range, 1 to 6). The wire was broken in 3 hips (4.8%) and the nonunion of the greater trochanter occurred in 1 hips (1.6%). Two stems subsided by 3 mm and 8 mm, respectively, during postoperative 6 weeks, after which the subsidence was not progressive.ConclusionCerclage wiring of the trochanter using monofilament wire leads to acceptable outcome in cementless HA for senile patients with unstable intertrochanteric fracture. Cerclage wiring using a monofilament wire is recommended for the fixation of trochanteric fragments.

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Section: Discussionmentioning

confidence: 92%

Fixation of Trochanteric Fragments in Cementless Bipolar Hemiarthroplasty of Unstable Intertrochanteric Fracture: Cerclage Wiring

2017

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“…During the period of the study, hemiarthroplasty was routinely used in moderate to low functioning elderly patients with displaced femoral neck fractures. Based on the results of our study, Parkinson's disease patients with hip fractures have poorer prognosis due to the disease progression with inevitable functional disability and therefore hemiarthroplasty remains an appropriate option [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups

Šponer

Kucera

Grinac

et al. 2017

Parkinson's Disease

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Introduction The aim of the study was to compare the clinical outcomes following elective and traumatic total hip arthroplasty in Parkinson's disease patients. Materials and Methods Ten patients with osteoarthritis comprise the elective group (mean age at operation 74 years; mean follow-up 82 months). Thirteen patients with femoral fracture comprise the hip fracture group (mean age 76 years; mean follow-up 54 months). All patients were followed up at 6 and 36 months postoperatively and at the time of the latest follow-up. Results Despite the significant improvement in Merle d'Aubigné-Postel and pain scores, disability related to Parkinson's disease increased during the follow-up. Whereas more than 1/3 of hip fracture patients and all elective patients walked independently at 36 months after total hip arthroplasty, 43% of living patients from both groups were able to walk independently at the time of the latest follow-up. The medical complications were seen mainly in patients with hip fracture. Conclusions Excellent pain relief with preserved walking ability without support of another person and acceptable complication profile was observed in Parkinson's disease patients at 36 months after elective total hip arthroplasty. This procedure may be indicated in Parkinson's disease patients after careful and individualized planning.

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“…Arthroplasty for Proximal Femur Fracture http://dx.doi.org/10.5772/intechopen.77053 acetabular wear, which is the leading cause [27]. Uncertainty remains as to which type of prosthesis is most appropriate for the treatment of fractures in these elderly patients.…”

Section: Total Hip Replacement -An Overviewmentioning

confidence: 99%

Arthroplasty for Proximal Femur Fracture

Curtin¹,

Pomeroy²,

Broderick³

2018

Total Hip Replacement - An Overview

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With an increasing global incidence of hip fractures, designing appropriate treatment strategies for hip fractures is fundamentally important to healthcare professionals, policymakers, and payers of healthcare services. We will evaluate the role of total hip replacement (THR) in the setting of trauma for the acute treatment of hip fractures. In this chapter, we will compare hemiarthroplasty and total hip replacement in the acute setting while also examining the role of arthroplasty in the setting of failed internal fixation, as well as in pathologic fractures. We will describe the pearls and pitfalls of surgical technique in these scenarios, highlighted with case examples.

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Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly Has a Low Conversion Rate

Cited by 52 publications

References 32 publications

Fixation of Trochanteric Fragments in Cementless Bipolar Hemiarthroplasty of Unstable Intertrochanteric Fracture: Cerclage Wiring

Fixation of Trochanteric Fragments in Cementless Bipolar Hemiarthroplasty of Unstable Intertrochanteric Fracture: Cerclage Wiring

The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups

Arthroplasty for Proximal Femur Fracture

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