Minimum Ten-Year Results of Primary Bipolar Hip Arthroplasty for Degenerative Arthritis of the Hip

Pellegrini, Vincent D.; Heiges, Bradley A.; BIXLER, BRIAN; Lehman, Erik; Davis, Charles M.

doi:10.2106/00004623-200608000-00019

Cited by 15 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, hemiarthroplasty has also been shown to have an unacceptably high risk of pain and revision compared with THA when used to treat degenerative osteoarthritis or osteonecrosis of the femoral neck [19,27,32]. This has led to a concern that the long-term survivors after hip fracture may experience late problems with their hemiarthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Randomized Trial of Hemiarthroplasty versus Internal Fixation for Femoral Neck Fractures: No Differences at 6 Years

Støen

Lofthus

Nordsletten

et al. 2014

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Hemiarthroplasty has been shown superior to internal fixation for displaced femoral neck fractures (FNF) in the first 2 years. However, there are unanswered questions about the performance of hemiarthroplasty over the longer term compared with internal fixation. Questions/purposes We sought to compare hemiarthroplasty with internal fixation in terms of (1) outcomes scores for pain, hip function, and quality of life at a minimum of 5 years after surgery in a randomized trial. A secondary purpose was to compare (2) patient survival and (3) frequency of reoperation in the two groups. Methods A total of 222 consecutive patients older than 60 years, including those cognitively impaired, with FNF were randomized to either internal fixation with two parallel screws or bipolar hemiarthroplasty. At a minimum followup of 4.9 years (mean, 5.9 years; range, 4.9-7.2 years), 68 of the 70 surviving patients were examined by a study nurse and study physiotherapist blinded to initial treatment. Questionnaires on hip function (Harris hip score), quality of life (Eq5D), and activity of daily living function (Barthel ADL) were administered. The Barthel ADL index score was split into good function (score 95 or 100) and reduced function (score below 95).

show abstract

Section: Discussionmentioning

confidence: 99%

Randomized Trial of Hemiarthroplasty versus Internal Fixation for Femoral Neck Fractures: No Differences at 6 Years

Støen

Lofthus

Nordsletten

et al. 2014

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Pellegrini et al [22] investigated the results of BHA for treating degenerative arthritis and reported that over 90 % of cases with mechanical failure had undergone acetabular reaming. They concluded that preservation of acetabular articular cartilage at the time of BHA may provide a barrier that impedes the access of particulate debris to subchondral bone.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of bipolar hemiarthroplasty for the treatment of steroid-induced osteonecrosis of the femoral head

Moriya

Uchiyama

Takahira

et al. 2012

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Bipolar hemiarthroplasty (BHA) for idiopathic osteonecrosis of the femoral head (ONFH) is performed at our institution. The purpose of this study was to evaluate the clinical and radiographic findings after BHA for the treatment of steroid -induced ONFH. Methods Thirty-seven hips in 27 patients were assessed (seven men, 11 hips; 20 women, 26 hips), average patient age at the time of surgery of 42.6 (range 20-83) years, with steroid-induced ONFH treated with BHA between 1995 and 2005. The mean follow-up duration was approximately ten (range five to15) years. Patients were evaluated according to the Japan Orthopaedic Association (JOA) hip score. Kaplan-Meier survivorship was calculated to examine revision arthroplasty failure rate. Radiographic analysis of loosening included radiolucent lines and osteolysis of the acetabulum or femur. Causes of loosening were analysed using multiple logistic regression. Result JOA hip score increased from 53 points (preoperative) to 87 points (final follow-up). Survival rates were 96.8 % and 78.6 % at ten and 15 years, respectively. Prosthesis loosening occurred on the acetabular side in five hips (13.5 %). No femoral-component loosening was observed. BHA had poor results in patients with Association Research Circulation Osseous (ARCO) stage IV ONFH and in patients under 40 years of age. Conclusion BHA, with strict surgical indications, may be a good option for treating ONFH. Based on these results, total hip arthroplasty is recommended for patients with ARCO stage IV ONFH or for patients under 40 years of age.

show abstract

“…However, mid to long-term follow-up demonstrated unacceptably high rates of complica ons like pain, migra on of prosthesis, osteolysis, and the need for revision [10][11][12][13] to total hip arthroplasty. The objec ve of this study was to analyze the long-term outcomes of Banaras Hindu University (BHU) bicentric bipolar hemiarthroplasty applied to these indica ons including the inner and outer bearing movements of the prosthesis.…”

Section: Introductionmentioning

confidence: 99%

Bicentric Bipolar Prosthesis in Non-Traumatic Hip Pathologies: Maximum 10 Years Follow Up

Jha

Kumar

Shakya

2018

Birat J. Health Sci.

View full text Add to dashboard Cite

Introduction: Introduction of bipolar prosthesis was basically made for the treatment of fresh fracture neck of femur in elderly, but with advancement in design and techniques its use has been increased to various non-traumatic hip pathologies.Objective: To assess clinical and radiological outcome of BHU bicentric bipolar hip prosthesis in treatment of non-traumatic hip pathology.Methodology: This longitudinal study was done in 30 cases of various hip conditions, during the period of March 2002 to March 2012. All patients had secondary osteoarthritis of hip with abnormal acetabulum following advanced tubercular arthritis, rheumatoid arthritis, ankylosing spondylitis and avascular necrosis of femoral head. Primary bipolar hemi-replacement arthroplasty was done in all the cases using Banaras Hindu University (BHU) bicentric bipolar hip prosthesis. Each patient was assessed radiologically for movement and fraction of it occurring at various components of prosthesis and clinically for functional outcome using modified Harris hip score for the maximum of 10 years.Results: There were 17 males and 13 females (n=30), aged between 31-60 years. Three and half years following surgery, (n=12) 100% patients were able to squat and sit crossed legged. At four and half years follow-up, (n=7) 100% patient had excellent result when assessed by modified Harris hip score. Radiologically, by the end of 10 years (n=1) all the movements of hip occurred at inner bearing while the outer bearing was fixed to acetabulum.Conclusion: This intermediate term follow-up study suggests that the use of BHU bicentric bipolar hip prosthesis for bipolar hemireplacement is associated with be

show abstract

Minimum Ten-Year Results of Primary Bipolar Hip Arthroplasty for Degenerative Arthritis of the Hip

Cited by 15 publications

References 13 publications

Randomized Trial of Hemiarthroplasty versus Internal Fixation for Femoral Neck Fractures: No Differences at 6 Years

Randomized Trial of Hemiarthroplasty versus Internal Fixation for Femoral Neck Fractures: No Differences at 6 Years

Evaluation of bipolar hemiarthroplasty for the treatment of steroid-induced osteonecrosis of the femoral head

Bicentric Bipolar Prosthesis in Non-Traumatic Hip Pathologies: Maximum 10 Years Follow Up

Contact Info

Product

Resources

About