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

Rivera, Fabrizio; Leonardi, Francesco; Maniscalco, Pietro; Caforio, Marco; Capelli, Roberto; Molinari, Giampaolo; Esopi, Paolo

doi:10.1016/j.artd.2015.02.002

Cited by 5 publications

(1 citation statement)

References 29 publications

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“…13 A fully HAC coated uncemented hemiarthroplasty has resulted in high Harris hip score in two to five years follow up studies. 14,15 The other advantages of an uncemented stem are shorter operation time and negligible risk of bone cement implantation syndrome. 16,17 The incidence of perioperative fracture is higher with uncemented stems.…”

Section: Discussionmentioning

confidence: 99%

Hydroxyapatite coated hip hemiarthroplasty: Morbidity and mortality

Fazal

Shah

Padmanabhan

2020

Journal of Clinical Orthopaedics and Trauma

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Background: Use of uncemented femoral stems for treating displaced intra capsular hip fractures in elderly is increasing worldwide. The aim of our study is to evaluate morbidity and mortality of treatment with a modular fully hydroxyapatite-coated collared femoral stem. Material and methods: 259 consecutive patients were included in the study. Patients were followed up for12 months. Outcomes were perioperative mortality, perioperative fractures, 30, 120 and 365-day mortality, revision surgery within 30 days and twelve months, length of stay, discharge destination and mobility. Results: Mean age was 85.4 years. 71.8% were female. 63.3% of patients were ASA grade III and IV. 87.6% of patients were operated within 36 h of attendance to hospital. The mortality rate at 30, 120, and 365 days was 8.2%, 15%, and 18.4% respectively with no peri-operative mortality. 0.8% of the patients sustained a peri-operative fracture below the lesser trochanter. Infection and dislocation were 1.1% and 1.5% respectively. 3.4% of the patient underwent further surgery within thirty days but no further surgery in next twelve months. Mean inpatient acute length of stay was 16.8 days, 41.5% of the patients returned to their own or sheltered accomodation within thirty days. 68% of the patients were mobile outdoors prior to the fracture that dropped to 25% at one year after surgery. Discussion: Our study demonstrates that treatment of displaced intracapsular femoral neck fractures in elderly with a full hydroxyapatite coated collared stem has satisfactory outcomes, no perioperative mortality, low one-year mortality and low revision hence a dependable option.

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