Outcome After Hemiarthroplasty for Femoral Neck Fractures in the Elderly

Je, Kenzora; Magaziner, Jay; Hudson, James I.; Hebel,; Young, Yvette; Hawkes, William; Felsenthal, G; Si, Zimmerman; Provenzano, George

doi:10.1097/00003086-199803000-00010

Cited by 91 publications

(65 citation statements)

References 17 publications

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“…The general consensus, however, appear to be that cemented bipolar hemiarthroplasty is preferred for intracapsular femoral neck fracture, because it results in lower pain score postoperatively 5,7 . Kenzora,in a prospective outcome study, concluded that the use of bipolar prosthesis (either a press fit or cemented) provided better pain relief and function and a lower complication rate than uncemented unipolar prosthesis albeit at higher cost 14 .…”

Section: Discussionmentioning

confidence: 99%

Bipolar Hemiarthroplasty in Elderly Patients Presenting With Displaced Intracapsular Femoral Neck Fractures - A Comparison of Cemented and Uncemented Prosthesis Placement

Krishnan¹,

Tr²,

Ks³

2010

MOJ

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This retrospective study was undertaken to analyze perioperative parameters, functional outcomes and complications of cemented versus uncemented bipolar hemiarthroplasty in elderly patients presenting with displaced intracapsular femoral neck fracture. The authors reviewed 17 patients that underwent cemented bipolar hemiarthroplasty and 21 patients that underwent uncemented bipolar hemiarthroplasty. The mean follow-up duration in the cemented and uncemented group was 29.9 and 30.5 months respectively. Intraoperative and postoperative blood loss was higher in the cemented group. On the last follow-up the mean HHS was 74.7 in the cemented group and 84.2 in the uncemented group. No statistically significant difference was evident in the pain score. In summary, bipolar hemiarthroplasty was found to be a good option for displaced intracapsular femoral neck fractures, and overall outcome was marginally better in the uncemented group in terms of postoperative of blood loss and functional outcome at last follow up.

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Section: Discussionmentioning

confidence: 99%

Bipolar Hemiarthroplasty in Elderly Patients Presenting With Displaced Intracapsular Femoral Neck Fractures - A Comparison of Cemented and Uncemented Prosthesis Placement

Krishnan¹,

Tr²,

Ks³

2010

MOJ

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“…HHS scores of patients with THA for degenerative hip disease in our department were also better [25,27]. However, we share the opinion of others that it is necessary to compare outcomes in patients after THA for a femoral neck fracture with outcomes in patients treated for the same diagnosis by different methods (internal fixation, hemiarthroplasty) where the benefit of THA is quite evident [1,6,9,[18][19][20][21]23,24,[38][39][40][41][42][43][44].…”

Section: Clinical Outcomes -Hhsmentioning

confidence: 91%

Primary total hip arthroplasty for displaced intracapsular fracture of the femoral neck: Medium-term functional and radiographic outcomes

et al. 2008

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AbstractThe number of complications after primary total hip arthroplasty for displaced intracapsular fractures of the femoral neck is higher than that after operations for osteoarthritis. The aim of this study is to evaluate the number of complications and mid-term functional and radiological findings of patients after primary THA for displaced intracapsular fractures of the femoral neck. Between 1995 and 1998, we operated on a total of 89 patients for acute displaced intracapsular fractures of the femoral neck, i.e. Garden Type 3 and 4. In all the patients we evaluated intraoperative and early postoperative complications. We reviewed clinical and radiological results in 65 patients. The only intraoperative complication was abruption of the greater trochanter. Early postoperative complications occurred in 13 patients (15%). The specific complications, THA dislocation, occurred in 3 patients. Non-specific complications were recorded in 10 patients. No delayed healing of the surgical wound, neural lesion or early, delayed or late infection was recorded. Of 65 patients followed-up for an average of 78 months (range, 62–109 months), 8 patients underwent revision surgery. Of 57 patients with primary THA, very good and good clinical results according to the Harris Hip Score were recorded in 48 patients (84%) and poor results in only 2 patients (4%). Nine of 57 followed-up patients showed radiological signs of loosening (16%). The radiolucent line could be seen in 3 patients in the region of the cup, in 1 patient in the region of the femoral component and in 5 patients in both components. Clinical complaints that would result in indication for reimplantation were recorded in none of the mentioned patients. Number of complications, functional results and resumption of full self-reliance by patients after THA for an intracapsular fracture of the femoral neck are so positive that we consider the indication of THA for a displaced femoral neck fracture fully justified.

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“…Çalışmamızda çimentolu hemiartroplastide takip süresi ortalama 34 (22- Yaşlılarda çimentosuz hemiartroplastinin daha yüksek ağrı skorları, cerrahi sonrası koltuk değneği gibi dış desteklere daha çok ihtiyaç ve günlük yaşam aktivitelerinde zayıf fonksiyonla ilişkili olduğunu bildirilmiştir [33][34][35][36] .…”

Section: Yöntemlerunclassified

İleri Yaş Hastalarda Çimentolu ve Çimentosuz Hemiartroplasti Sonuçlarının Karşılaştırılması

Kaya¹,

Özdemir²,

Dabak³

2017

Dicle Tıp Dergisi

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ÖzetAmaç: Bu çalışmada ileri yaş hastalarda çimentolu ve çimentosuz hemiartroplasti sonuçlarını ve birbirine üstünlüklerini değerlendirdik.Yöntemler: Bu çalışma femur boyun kırığı nedeni ile takip edilen ve hemiartroplasti cerrahisi uygulanan toplam 86 hastadan düzenli kontrollere gelip kayıtları tutulan 46 hastanın dahil edildiği retrospektif bir çalışmadır. Bu hastaların 28'ine çimentosuz, 18'ine çimentolu hemiartroplasti yapılmıştı.Sonuç: İleri yaştaki hastalarda sementsiz kalça protezinin özellikle ameliyat esnasında hastaya minimum travma yaşatması, mortaliteyi anlamlı bir şekilde düşürmesinden dolayı bu hastalarda en uygun tedavi yöntemi olduğunu düşünmekteyiz.

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Outcome After Hemiarthroplasty for Femoral Neck Fractures in the Elderly

Cited by 91 publications

References 17 publications

Bipolar Hemiarthroplasty in Elderly Patients Presenting With Displaced Intracapsular Femoral Neck Fractures - A Comparison of Cemented and Uncemented Prosthesis Placement

Bipolar Hemiarthroplasty in Elderly Patients Presenting With Displaced Intracapsular Femoral Neck Fractures - A Comparison of Cemented and Uncemented Prosthesis Placement

Primary total hip arthroplasty for displaced intracapsular fracture of the femoral neck: Medium-term functional and radiographic outcomes

İleri Yaş Hastalarda Çimentolu ve Çimentosuz Hemiartroplasti Sonuçlarının Karşılaştırılması

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