Outcome of An Uncemented Hydroxyapatite Coated Hemiarthroplasty for Displaced Femoral Neck Fractures: A Clinical and Radiographic 2-Year Follow-Up Study

Eschen, Jacob; Kring, Søren; Brix, Michael; Ban, Ilija; Troelsen, Anders

doi:10.5301/hip.2012.9745

Cited by 8 publications

(3 citation statements)

References 26 publications

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“…Furthermore, previous studies [6, 9, 22] observed a distinctly low risk for CTHA-related complications. Although CTHA improves clinical outcomes, one safety concern is that interference with the cemented femoral component could promote the destabilisation of bone and cement components and thus increase the risk for complications, such as prosthetic loosening, prosthetic revision, periprosthetic fracture, dislocation, femur shaft fracture, hip pain, lower limb shortening and heterotopic ossification [10, 23]. This is of specific concern, as undergoing a THA has been considered a potential risk factor for morbidity and mortality [8, 13].…”

Section: Discussionmentioning

confidence: 99%

Long-term follow-up outcomes for patients undergoing primary total hip arthroplasty with uncemented versus cemented femoral components: a retrospective observational study with a 5-year minimum follow-up

Liu

Hua

et al. 2019

J Orthop Surg Res

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BackgroundThis retrospective analysis compared the long-term outcomes for patients with a femoral neck fracture (AO/OTA type 31B) treated with a primary unilateral total hip arthroplasty with uncemented or cemented femoral components (UTHA or CTHA, respectively).MethodsWe conducted a retrospective cohort study using the South China Hip Arthroplasty Database. We identified 422 patients with femoral neck fracture (AO/OTA type 31B) who were previously treated with primary unilateral UTHA or CTHA between 2007 and 2015, with follow-up until 2019. Follow-up occurred 1, 3, 6 and 12 months postoperatively and yearly thereafter. The primary outcome was the Harris hip score (HHS). The secondary outcome was the orthopaedic complication rate.ResultsIn total, 324 patients (UTHA n = 160, mean age 68.61 ± 7.49 years; CTHA n = 164, mean age 68.75 ± 7.04 years) were evaluated for study eligibility. The median follow-up was 73.3 months (range, 11.6–89.2 months). At the final follow-up, HHS was 74.09 ± 6.23 vs 79.01 ± 10.21 (UTHA vs CTHA, p = 0.012). Significant differences were detected in the incidence of prosthetic revision, loosening, and periprosthetic fracture between the UTHA and CTHA groups (7.5% for UTHA vs 1.8% for CTHA, p = 0.015; 17.5% for UTHA vs 8.5% for CTHA, p = 0.016; 11.9% for UTHA vs 4.9% for CTHA, p = 0.021, respectively).ConclusionIn this setting, CTHA demonstrated superiority to UTHA by improving functional outcomes and decreasing complication rates.

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Section: Discussionmentioning

confidence: 99%

Long-term follow-up outcomes for patients undergoing primary total hip arthroplasty with uncemented versus cemented femoral components: a retrospective observational study with a 5-year minimum follow-up

Liu

Hua

et al. 2019

J Orthop Surg Res

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“…Modern uncemented implants are reported to have lower incidences of thigh pain. The Corail® stem (DePuy Synthes), when used in good bone stock, has been described as having as low as 0.6% (2/347) rate of unexplained thigh pain; however, in neck of femur surgery with osteoporotic bone, the rate may be as high as 31.9% [11,12].…”

Section: Discussionmentioning

confidence: 99%

Cortical Strut Graft for Enigmatic Thigh Pain in Uncemented Total Hip Replacement

Granger¹,

Bankes

Sandiford

2020

Cureus

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Enigmatic thigh pain in uncemented femoral components of a total hip replacement can be severe and disabling. Treatment can be conservative or surgical with cortical strut graft or revision of the femoral stem. Cortical strut grafting may offer good results with reduced morbidity. The aim of this study was to report the functional and radiographic outcomes of four patients with enigmatic thigh pain treated with cortical strut allograft. Materials and Methods Between 2016 and 2018, four women underwent cortical strut allografting at two centres. All patients had an uncemented, proximally porous S-ROM femoral implant (DePuy, Warsaw, In, USA). All other causes of anterolateral thigh pain were excluded. The mean age was 36.7 years (range: 29-51 years). Patients were followed up for a minimum of 14 months (range: 14-38 months). The University of California, Los Angles (UCLA) activity score, pain scores, complications, and radiographs at six weeks, three months, six months, nine months and one year were recorded. Results Mean UCLA activity scores increased from 3.2 (range: 2-4) to 6.2 (range: 6-7) post-operatively. Radiologically, all four patients had complete osseointegration of their strut grafts. Pain scores decreased at six weeks and at six months. One deep venous thrombosis occurred. One patient experienced recurrence of anterolateral thigh pain 26 months post-strut graft, which resolved with protected weight-bearing and analgesia for three months. Conclusions In uncemented femoral prostheses, cortical strut grafting to treat enigmatic thigh pain can reduce symptoms and increase activity without the need to revise a well-fixed femoral stem. We add to the growing body of evidence that this can be a successful surgical technique.

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“…The results of the current study are in agreement with reports on the use of cementless hemiarthroplasty overall and for cementless fixation of stems for elective THA. 12,17,[20][21][22] Bezwada et al 17 compared the clinical outcomes of 248 patients (256 hips) with a mean age of 77 years (range, 65-95 years) who sustained displaced femoral neck fractures treated with cementless bipolar hemiarthroplasties. At a mean follow-up of 3.5 years (range, 3-5 years), the revision rate was 5% and the mean Harris Hip score improved to 82 points (range, 54-92 points).…”

Section: Discussionmentioning

confidence: 99%

Proximally Coated Cementless Bipolar Hemiarthroplasty in Dorr Type C Bone

Bonutti¹,

Stroh²,

Issa³

et al. 2014

Orthopedics

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The current study was conducted to examine the clinical and radiographic outcomes of cementless bipolar arthroplasty in patients who had type C bone at the time of the procedure. A total of 87 patients (105 hips) who had type C femora and had undergone cementless bipolar hemiarthroplasty with a proximally coated cementless prosthesis for the treatment of displaced femoral neck fractures at a single institution were reviewed. Patients included 83 women and 4 men who had a mean age of 84 years (range, 72-100 years) and were followed for a mean of 6 years (range, 2-11 years). Outcomes evaluated included aseptic implant survivorship, surgical complications, Harris Hip scores, and radiographic findings. At final follow-up, there were no revisions for aseptic implant loosening. The overall aseptic implant survivorship was 95%, with 5 patients undergoing revision surgery for aseptic reasons. Three revisions were because of periprosthetic fractures after falls, 1 revision was because of intractable groin pain, and 1 revision was because of recurrent dislocations. The surgical complication rate was 8.5%, which included 3 septic revisions, 2 avulsion fractures of the greater trochanter after falls, 2 superficial wound infections, 1 recurrent dislocation, and 1 wound hematoma. The mean Harris Hip score had improved to 80 points (range, 30-97 points) at final follow-up. Despite generally poor bone quality and medical comorbidities, elderly patients with displaced femoral neck fractures achieved excellent clinical outcomes, with few perioperative complications, through the use of proximally coated cementless bipolar hemiarthroplasty.

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Outcome of An Uncemented Hydroxyapatite Coated Hemiarthroplasty for Displaced Femoral Neck Fractures: A Clinical and Radiographic 2-Year Follow-Up Study

Abstract: The results suggest that an uncemented hydroxyapatite coated hemiarthroplasty can be used to treat displaced intracupsular femoral neck fractures with good clinical and radiographic outcomes at short term follow-up.

Cited by 8 publications

References 26 publications

Long-term follow-up outcomes for patients undergoing primary total hip arthroplasty with uncemented versus cemented femoral components: a retrospective observational study with a 5-year minimum follow-up

Long-term follow-up outcomes for patients undergoing primary total hip arthroplasty with uncemented versus cemented femoral components: a retrospective observational study with a 5-year minimum follow-up

Cortical Strut Graft for Enigmatic Thigh Pain in Uncemented Total Hip Replacement

Proximally Coated Cementless Bipolar Hemiarthroplasty in Dorr Type C Bone

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