A Letter to the Editor on “Effectiveness of Periarticular Injection After Bipolar Hemiarthroplasty for Displaced Femoral Neck Fracture in Elderly Patients: A Double-Blinded Randomized, Controlled Study”

2021 ◽  
Vol 36 (7) ◽  
pp. e66
Author(s):  
Qin Xu ◽  
Xiaoling Guo
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Femoral Neck Fracture ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Bipolar Hemiarthroplasty ◽  
Periarticular Injection ◽  
Randomized Controlled ◽  
Neck Fracture ◽  
Double Blinded

A randomized controlled trial of cemented versus cementless arthroplasty in patients with a displaced femoral neck fracture

2018 ◽  
Vol 100-B (8) ◽  
pp. 1087-1093 ◽  
Author(s):  
B. Barenius ◽  
C. Inngul ◽  
Z. Alagic ◽  
A. Enocson
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Controlled Trial ◽  
Femoral Stem ◽  
Harris Hip Score ◽  
Controlled Study ◽  
Randomized Controlled ◽  
Neck Fracture ◽  
Euroqol 5D ◽  
Displaced Fracture

Aims The aim of this study was to compare the functional and radiological outcomes in patients with a displaced fracture of the hip who were treated with a cemented or a cementless femoral stem. Patients and Methods A four-year follow-up of a randomized controlled study included 141 patients who underwent surgery for a displaced femoral neck fracture. Patients were randomized to receive either a cemented (n = 67) or a cementless (n = 74) stem at hemiarthroplasty (HA; n = 83) or total hip arthroplasty (THA; n = 58). Results Early differences in functional outcome, assessed using the Harris Hip Score, the Short Musculoskeletal Functional Assessment score and EuroQol-5D, with better results in cemented group, deteriorated over time and there were no statistically significant differences at 48 months. Two (3%) patients in the cemented group and five (6.8%) in the cementless group underwent further surgery for a periprosthetic fracture. This difference was statistically significant (p = 0.4). No patient underwent further surgery for instability or infection between one and four years postoperatively. The mortality and the radiological outcomes were similar in both groups. Conclusion Patients with a displaced femoral neck fracture treated with an arthroplasty using a cemented or cementless stem had good function and few complications up to four years postoperatively. However, due to the poor short-term functional outcomes in the cementless group, the findings do not support their routine use in the treatment of these elderly patients. Cite this article: Bone Joint J 2018;100-B:1087–93.

Cemented Vs Uncemented modular Bipolar hemiarthroplasty treatment for femoral neck fracture in elderly patients

2017 ◽  
Vol 4 (3) ◽  
pp. 127-130 ◽  
Author(s):  
S.K. Rai ◽  
Rohit Vikas ◽  
Vyom Sharma ◽  
S.S. Wani ◽  
Rohit Varma
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Femoral Neck Fracture ◽  
Bipolar Hemiarthroplasty ◽  
Neck Fracture
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