Faculty Opinions recommendation of A comparison of hemiarthroplasty with total hip replacement for displaced intracapsular fracture of the femoral neck: a randomised controlled multicentre trial in patients aged 70 years and over.

2010 ◽  
Author(s):  
Nicola Maffulli ◽  
Nikolaos Gougoulias
Keyword(s):  
Femoral Neck ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Multicentre Trial ◽  
Intracapsular Fracture ◽  
Total Hip ◽  
Randomised Controlled

A comparison of hemiarthroplasty with total hip replacement for displaced intracapsular fracture of the femoral neck

2010 ◽  
Vol 92-B (10) ◽  
pp. 1422-1428 ◽  
Author(s):  
M. P. J. van den Bekerom ◽  
E. F. Hilverdink ◽  
I. N. Sierevelt ◽  
E. M. B. P. Reuling ◽  
J. M. Schnater ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Intracapsular Fracture ◽  
Total Hip

scholarly journals Uncemented versus cemented arthroplasty after metal-on-metal total hip replacement in patients with femoral neck fractures: a retrospective study

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110122
Author(s):  
Wenlu Liu ◽  
Huanyi Lin ◽  
Xianshang Zeng ◽  
Meiji Chen ◽  
Weiwei Tang ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Clinical Outcomes ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Femoral Neck Fractures ◽  
Harris Hip Score ◽  
Complication Rates ◽  
Total Hip ◽  
Metal On Metal

Objective To compare the clinical outcomes of primary metal-on-metal total hip replacement (MoM-TR) converted to uncemented total hip replacement (UTR) or cemented total hip replacement (CTR) in patients with femoral neck fractures (AO/OTA: 31B/C). Methods Patient data of 234 UTR or CTR revisions after primary MoM-TR failure from March 2007 to January 2018 were retrospectively identified. Clinical outcomes, including the Harris hip score (HHS) and key orthopaedic complications, were collected at 3, 6, and 12 months following conversion and every 12 months thereafter. Results The mean follow-up was 84.12 (67–100) months for UTR and 84.23 (66–101) months for CTR. At the last follow-up, the HHS was better in the CTR- than UTR-treated patients. Noteworthy dissimilarities were correspondingly detected in the key orthopaedic complication rates (16.1% for CTR vs. 47.4% for UTR). Statistically significant differences in specific orthopaedic complications were also detected in the re-revision rate (10.3% for UTR vs. 2.5% for CTR), prosthesis loosening rate (16.3% for UTR vs. 5.9% for CTR), and periprosthetic fracture rate (12.0% for UTR vs. 4.2% for CTR). Conclusion In the setting of revision of failed primary MoM-TR, CTR may demonstrate advantages over UTR in improving functional outcomes and reducing key orthopaedic complications.

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