Incidence of periprosthetic fractures after hip hemiarthroplasty: Are uncemented prostheses unsafe?

McGraw, I.; Spence, Stephanie; Baird, Emily; Eckhardt, Sarah M.; Ayana, G

doi:10.1016/j.injury.2013.07.023

Cited by 33 publications

(23 citation statements)

References 12 publications

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“…Periprosthetic femoral fracture after total hip arthroplasty is a severe postoperative complication, the treatment of which involves conservative treatment or complex, expensive and invasive surgical procedures in typically old patients with many comorbidities [1][2][3][4]. The surgical technique is generally an internal osteosynthesis or a prosthetic stem revision or a combination of both [5][6][7], and it is associated with a high rate of failure and need for further surgeries [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Causes of failure in periprosthetic fractures of the hip at 1- to 14-year follow-up

Spina

Rocca

Canella

et al. 2014

Injury

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Section: Introductionmentioning

confidence: 99%

Causes of failure in periprosthetic fractures of the hip at 1- to 14-year follow-up

Spina

Rocca

Canella

et al. 2014

Injury

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“…The percentage of perioperative complications was also acceptable, above all when considering the high incidence of co-morbidity on the admission of elderly patients with intracapsular hip fracture. Despite the fact that the incidence of periprosthetic fractures is greater in patients treated with uncemented stems than in those treated with cemented stems [27] , [28] , we only saw one case of periprosthetic fracture, thus recording an incidence of this complication comparable to that seen for patients treated with a cemented stem [26] , [27] .…”

Section: Discussionmentioning

confidence: 69%

Uncemented fully hydroxyapatite-coated hip stem for intracapsular femoral neck fractures in osteoporotic elderly patients: a multicenter study

et al. 2015

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There is still debate over the limits of age and bone stock quality of patients on whom to use an un-cemented straight stem coated with hydroxyapatite (HA). We studied a group of 244 patients with a displaced intracapsular fracture of the femoral neck who underwent cementless hemiarthroplasty or total hip arthroplasty. 143 patients were reviewed at the two-year follow up. A fully HA-coated stem for intracapsular hip fracture results in a satisfactory return to pre-injury mobility and a low complications rate. The advantage reported in the literature of a low mortality rate with use of an un-cemented implant in elderly patients was shown to be greater still on finding an immediate primary stability and rapid osteointegration of the implant.

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“…determined cemented implants were associated with a 30% lower risk of fracture. It is recommended that cemented femoral stems be considered for elderly arthroplasty patients as a strategy to reduce the burden of PFF …”

Section: Discussionmentioning

confidence: 99%

“…It is recommended that cemented femoral stems be considered for elderly arthroplasty patients as a strategy to reduce the burden of PFF. 34 In their retrospective analysis, Zuurmond et al 35 note that 32% of all PFF needing operative intervention had subsequent surgery post revision to manage complications. The 1-year mortality ranges between 11% and 34%, [35][36][37][38][39] with a higher mortality in the first 30 days 36 and up to 2.6% of all surgically managed PFF during their in hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Operation rate is more than double the revision rate for periprosthetic femur fractures

Constantin

Steiger

et al. 2019

ANZ Journal of Surgery

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Background Periprosthetic femur fractures (PFFs) following hip arthroplasty can lead to significant morbidity due to their impact on mobility and the need for surgery. Its incidence often measured by the prosthesis revision rate reported in joint replacement registries. However, many PFFs are also treated with prosthesis retention and internal fixation. Minimally displaced and stable fractures may be treated without surgery. Knowledge of the difference between the number of femoral revisions for PFF (well reported in registries) and the number of surgeries for PFF overall would allow us to estimate the overall surgical burden. This study aims to determine the number of post‐operative PFF in three hospitals and compare those treated with revision surgery to those PFF treated with internal fixation and femoral stem retention. By determining this difference, we can ascertain a more accurate estimate of the overall surgical burden of PFF. Method Patients 50 years and older who sustained a post‐operative PFF between 1 January 2011 and 31 December 2017 at three public hospitals were extracted from hospital records. The number of revision procedures was compared to the number of re‐operations of any type. Results There were 200 patients admitted for management of PFF. One hundred and forty‐three (71.5%) required an operation of which 67 (47%) were revision arthroplasty. Conclusion The overall surgical burden of PFF is approximately twice that represented by the revision rate.

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Incidence of periprosthetic fractures after hip hemiarthroplasty: Are uncemented prostheses unsafe?

Cited by 33 publications

References 12 publications

Causes of failure in periprosthetic fractures of the hip at 1- to 14-year follow-up

Causes of failure in periprosthetic fractures of the hip at 1- to 14-year follow-up

Uncemented fully hydroxyapatite-coated hip stem for intracapsular femoral neck fractures in osteoporotic elderly patients: a multicenter study

Operation rate is more than double the revision rate for periprosthetic femur fractures

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