scholarly journals Cemented versus Uncemented Hemiarthroplasty for Femoral Neck Fractures in Patients with Neuromuscular Diseases: A Minimum of 2 Years Follow-Up Study

2021 ◽  
Author(s):  
Yuchuan Wang ◽  
Zhongzheng Wang ◽  
Siyu Tian ◽  
Zhanchao Tan ◽  
Yanbin Zhu ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Neuromuscular Diseases ◽  
Femoral Neck Fractures ◽  
Intraoperative Blood Loss ◽  
Uncemented Hemiarthroplasty ◽  
Duration Of Surgery ◽  
The Mean ◽  
Uncemented Group

Abstract Background The aim of this study is to compare the outcomes of cemented and uncemented hemiarthroplasty for femoral neck fractures in patients with neuromuscular disease. Methods We reviewed 156 patients with neuromuscular disease who underwent hemiarthroplasty between 2015 and 2019. Patients were divided into cemented group (n = 105) and uncemented group (n = 51), with a minimum follow-up of 2 years. Factors including preoperative features, duration of surgery, intraoperative blood loss, complications, pain, Harris hip scores (HHS), and quality of life were compared across groups, and Kaplan-Meier curves were used to estimate survival. Results In the uncemented group, the mean duration of surgery was 16.0 minutes shorter (p = 0.001) and the mean intraoperative blood loss was 71.1 mL less (p = 0.01). Visual analog scales (VAS), HHS and European Quality of Life-5 Dimensions (EQ-5D) scores were not different between the groups. Despite a few potential trends, we did not observe a difference in complications such as periprosthetic fractures and dislocations. The rates of mortality were similar between groups (p=0.821). Conclusions Both arthroplasties may be used with good medium-term results in the treatment of femoral neck fractures in patients with neuromuscular diseases.

scholarly journals Cemented versus uncemented hemiarthroplasty for femoral neck fractures in patients with neuromuscular diseases: a minimum of 2 years’ follow-up study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yuchuan Wang ◽  
Zhongzheng Wang ◽  
Siyu Tian ◽  
Zhanchao Tan ◽  
Yanbin Zhu ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Neuromuscular Diseases ◽  
Femoral Neck Fractures ◽  
Intraoperative Blood Loss ◽  
Uncemented Hemiarthroplasty ◽  
Duration Of Surgery ◽  
The Mean ◽  
Uncemented Group

Abstract Background The aim of this study was to compare the outcomes of cemented and uncemented hemiarthroplasty for femoral neck fractures in patients with neuromuscular disease. Methods We reviewed 156 patients with neuromuscular disease who underwent hemiarthroplasty between June 2015 and December 2019. Patients were divided into cemented group (n = 105) and uncemented group (n = 51), with a minimum follow-up of 2 years. Factors including preoperative features, duration of surgery, intraoperative blood loss, complications, pain, Harris hip scores (HHS), and quality of life were compared across groups, and Kaplan–Meier curves were used to estimate survival. Results In the uncemented group, the mean duration of surgery was 16.0 min. shorter (p = 0.001) and the mean intraoperative blood loss was 71.1 mL less (p = 0.01). Visual analog scales (VAS), HHS, and European Quality of Life-5 Dimensions (EQ-5D) scores were not different between the groups. Despite a few potential trends, we did not observe a difference in complications such as periprosthetic fractures and dislocations. The rates of mortality were similar between groups (p=0.821). Conclusions Both arthroplasties may be used with good medium-term results in the treatment of femoral neck fractures in patients with neuromuscular diseases.

scholarly journals A PROSPECTIVE STUDY OF FUNCTIONAL OUTCOMES IN CEMENTED VS. UNCEMENTED HEMIARTHROPLASTY IN FEMORAL NECK FRACTURES IN GERIATRIC AGE.

2020 ◽  
pp. 1-3
Author(s):  
Siddhartha Shankar Mohanty ◽  
Sunil Kumar Dash ◽  
Hemanta Kumar Bamidi ◽  
Kishore Chandra Dash
Keyword(s):  
Femoral Neck ◽  
Blood Loss ◽  
Prospective Study ◽  
Functional Outcomes ◽  
Operative Time ◽  
Study Groups ◽  
Femoral Neck Fractures ◽  
Uncemented Hemiarthroplasty ◽  
Uncemented Group

Introduction: The optimum treatment choice for femoral neck fractures is often contested. In this study, we aimed to compare the functional outcome in geriatric patients who underwent either cemented or uncemented hemiarthroplasty in our department. Methods: This prospective study included patients who were scheduled to undergo hemiarthroplasty for femoral neck fracture in the Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, Odisha. Two study groups were made. One group had patients who underwent uncemented hemiarthroplasty and the second group had patients who underwent cemented hemiarhtroplasty. Surgery related information was collected from the operative notes of the surgeon. Post-operative complications, Visual Analogue Scale (VAS) scores and Harris Hip Score (HHS) were noted during the follow up period. Results: There were 30 patients in the uncemented group and 31 in the cemented group. All the baseline demographic and clinical variables were similar in both the study groups. Mean intraoperative blood loss and operative time was significantly higher among the patients who underwent cemented hemiarthroplasty as compared to uncemented group. Mean VAS score at the first month and sixth month follow up was significantly higher among patients in the uncemented group as compared to cemented group. Functional outcome was not significantly different according to the HHS performed 6 months post-operatively. Conclusions: Patients in the cemented group had a higher intra-operative blood loss and longer operative time. However, the pain score on the VAS were significantly lower at first and sixth month follow up. Functional outcomes were not significantly different between the two study groups.

scholarly journals Comparing outcomes in cemented vs uncemented hemiarthroplasty in femoral neck fractures

2018 ◽  
Vol 5 (1) ◽  
pp. 152
Author(s):  
Udit Kapoor ◽  
Amit Chug ◽  
Govind Baranwal ◽  
Shaunak Patil ◽  
Shubham Kumar
Keyword(s):  
Femoral Neck ◽  
Blood Loss ◽  
Functional Outcome ◽  
Operative Time ◽  
Study Groups ◽  
Femoral Neck Fractures ◽  
Uncemented Hemiarthroplasty ◽  
Operative Notes ◽  
Uncemented Group

<p class="abstract"><strong>Background:</strong> The optimal treatment choice for femoral neck fractures is often debated. In this study, we aimed to compare the functional outcome in elderly patients who underwent either cemented or uncemented hemiarthroplasty in our department.</p><p class="abstract"><strong>Methods:</strong> This prospective study included patients who were scheduled to undergo hemiarthroplasty for femoral neck fracture in the Department of Orthopedics, Dr DY Patil University School of Medicine, Navi Mumbai. Two study groups were made. One group had patients who underwent uncemented hemiarthroplasty and the second group had patients who underwent cemented hemiarhtroplasty. Surgery related information was collected from the operative notes of the surgeon. Post-operative complications, Visual Analogue Scale (VAS) scores and Harris Hip Score (HHS) were noted during the follow up period.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 30 patients in the uncemented group and 31 in the cemented group. All the baseline demographic and clinical variables were similar in both the study groups. Mean intraoperative blood loss and operative time was significantly higher among the patients who underwent cemented hemiarthroplasty as compared to uncemented group. Mean VAS score at the first month and sixth month follow up was significantly higher among patients in the uncemented group as compared to cemented group. Functional outcome was not signicantly different according to the HHS performed 6 months post-operatively.</p><p class="abstract"><strong>Conclusions:</strong> Patients in the cemented group had a higher intra-operative blood loss and longer operative time. However, the pain score on the VAS were significantly lower at first and sixth month follow up. Functional outcomes were not significantly different between the two study groups.</p><p> </p>

Management of Intracapsular Femoral Neck Fractures in Adults Younger than 65 Years

2011 ◽  
Vol 15 (2) ◽  
pp. 43-46
Author(s):  
Lo Irene ◽  
Woo Siu-Bon ◽  
Chan Wai-Lam ◽  
Wong Wing-Cheung
Keyword(s):  
Young Adults ◽  
Femoral Neck ◽  
Weight Bearing ◽  
Time Lapse ◽  
Fracture Pattern ◽  
Femoral Neck Fractures ◽  
Initial Stability ◽  
The Mean

Purpose The study is to review the results of intracapsular femoral neck fractures in young adults (age < 65) treated with reduction and multiple-screw fixation from 2000 to 2007. Method Sixty-four consecutive patients were reviewed retrospectively. The mean age of the patients at the time of injury was 53.5 (32–65) years old. All fractures were either closely or openly reduced and fixed with three 7.5-mm cancellous screws. The mean follow up period was 36.8 months (6–100). Results We found that 9 of 64 (14.1%) patients developed osteonecrosis of femoral head on follow up. Displacement of fracture (Garden classification), initial stability of fracture pattern (Pauwel classification), and quality of reduction (Haidukewych grading) were found to have significant effect on the development of osteonecrosis, whereas the effect of patient age, time lapse of surgery, capsulotomy, hip aspiration, and postoperative weight bearing regimen were not statistically significant. Conclusion Fracture pattern and quality of reduction govern the fate of the femoral heads in young adults with their intracapsular femoral neck fractures fixed with screws.

scholarly journals Cemented versus uncemented hemiarthroplasty for femoral neck fractures in elderly patients

2019 ◽  
Vol 5 (3) ◽  
pp. 458
Author(s):  
Nikil Sanaba Paramesh ◽  
Usman Taufiq
Keyword(s):  
Femoral Neck ◽  
Blood Loss ◽  
Elderly Patients ◽  
Operation Time ◽  
Reoperation Rate ◽  
Femoral Neck Fractures ◽  
Intraoperative Blood Loss ◽  
Cerebrovascular Complications ◽  
Uncemented Hemiarthroplasty ◽  
Hip Function

<p class="abstract"><strong>Background:</strong> Controversy still exists regarding using cemented or uncemented hemiarthroplasty for femoral neck fractures in elderly patients. The aim of this study is to compare the effectiveness and safety of the two surgical techniques in femoral neck fracture patients over 60 years old.</p><p class="abstract"><strong>Methods:</strong> We searched PUBMED from inception to December 2012 for relevant randomized controlled trials (RCTs). Outcomes of interest include postoperative hip function, residue pain, complication rates, mortality, reoperation rate, operation time and intraoperative blood loss. Odds ratios (OR) and weighted mean differences (WMD) from each trial were pooled using random-effects model or fixed-effects model given on the heterogeneity of the included studies.<strong></strong></p><p class="abstract"><strong>Results:</strong> Our control trial involved 132 patients (132 hips) who were eligible for the study. Our results demonstrate that cemented hemiarthroplasty is associated with better postoperative hip function (OR = 0.48, 95% CI, 0.31–0.76; p = 0.002), lower residual pain (OR = 0.43, 95%CI, 0.29–0.64; p&lt;0.0001), less implant-related complications (OR = 0.15, 95%CI, 0.09–0.26; p&lt;0.00001) and longer operation time (WMD = 7.43 min, 95% CI, 5.37–9.49 min; p&lt;0.00001). No significant difference was observed between the two groups in mortality, cardiovascular and cerebrovascular complications, local complications, general complications, reoperation rate and intraoperative blood loss.</p><p class="abstract"><strong>Conclusions:</strong> Compared with uncemented hemiarthroplasty, the existing evidence indicates that cemented hemiarthroplasty can achieve better hip function, lower residual pain and less implant-related complications with no increased risk of mortality, cardiovascular and cerebrovascular complications, general complications, local complications and reoperation rate in treating elderly patients with femoral neck fractures.</p>

scholarly journals Comparison of functional outcomes between cemented and uncemented bipolar hemiarthroplasty for intracapsular neck femur fractures

2020 ◽  
Vol 6 (2) ◽  
pp. 333
Author(s):  
Harpreet Singh ◽  
Tej S. Rudani ◽  
Malay P. Gandhi ◽  
Aliasgar J. Rampurwala
Keyword(s):  
Excellent Result ◽  
The Elderly ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Femur Fractures ◽  
Uncemented Hemiarthroplasty ◽  
Duration Of Surgery ◽  
The Mean ◽  
Neck Of Femur Fracture ◽  
Uncemented Group

<p class="abstract"><strong>Background:</strong> The neck of femoral fracture is common and leading fracture in orthopaedic practice. The older age group and female are more to prone to develop this fracture.</p><p class="abstract"><strong>Methods:</strong> A prospective, clinical observational, analytical comparative study was undertaken in the department of Orthopaedics of Geetanjali Medical College and Hospital in Udaipur, Rajasthan from January 2018 to June 2019. 52 adult patients with neck of femur fracture, 26 patients in each group. <strong></strong></p><p class="abstract"><strong>Results:</strong> In our study, the mean age was 77.72 years. Female preponderance was seen in our study. In our study mean duration of surgery in uncemented group was 65.78 minutes and mean duration of surgery in cemented group was 79.89 minutes. The mean total HHS in our patient was 86.63 with standard deviation of 6.18. Mean HHS for cemented group was 86 and for uncemented group was 87.23. We found 20 excellent result and 27 good results (35.71% and 51.92% respectively). We also found 5 fair result (12.37%). There were 2 complications, both in cemented group, one had post-operative dislocation and other had a cement reaction.</p><p><strong>Conclusions:</strong> Both cemented and uncemented hemiarthroplasty are equally good options in the treatment of femoral neck fractures in the elderly. However, it is to be noted that the duration of surgery &amp; complications, were both less in the uncemented group as compared to cemented hemiarthroplasty group in our study. </p>

The Long-Term Results of Lubinus Interplanta Hemiarthroplasty in 228 Acute Femoral Neck Fractures. A Retrospective Six-Year Follow-Up

2002 ◽  
Vol 91 (4) ◽  
pp. 357-360 ◽  
Author(s):  
K. Isotalo ◽  
J. Rantanen ◽  
V. Äärimaa ◽  
E. Gullichsen
Keyword(s):  
Survival Analysis ◽  
Hip Fracture ◽  
Femoral Neck ◽  
Femoral Neck Fractures ◽  
Long Term Results ◽  
Dislocation Rate ◽  
Kaplan Meier ◽  
The Mean

Background and Aims: We retrospectively studied survival of patients treated with Lubinus interplanta (IP) semiendoprosthesis in acute hip fracture. Materials and Methods: The long-term results of Lubinus interplanta (IP) hemiarthroplasty in 228 acute medial fractures of the femoral neck in 222 patients were reviewed. Results and Conclusions: The mean age of the patients was 80.3 years. The mean duration of post-operative follow-up was 6.3 years (range 5–8 years). There were 12 reoperations (5.3 %), of which 8 were revisions (3.5 %). Dislocation rate was 3.5 %. Survival was 93 % at three years and 88 % at six years (Kaplan-Meier-survival analysis). Conclusions: These results surpass those previously published after Thompson and Moore hemiarthroplasties. The Lubinus prosthesis has a greater CCD (caput, collum, diaphyse) angle and a longer stem compared to Thompson and Moore implants. The need for resection of calcar cortex is also limited. These biomechanical facts may explain the good long-term results of Lubinus hemiarthroplasty.

Sign in / Sign up

Export Citation Format

Share Document