ABSTRACT
Objectives:
In this study, we aimed to compare effects of cementless and cemented calcar-replacement hemiarthroplasty used in the treatment of proximal femoral fractures in elderly patients, on mortality.
Materials and Methods:
A total of 167 patients with proximal femoral fractures between 2012 and 2015 were included in the study. Cemented hemiarthroplasty was performed in 64 (38.3%) (group1) and cementless hemiarthroplasty in 103 (61.7%) (group 2) patients. The patients were evaluated at postoperative week 3, then at 3rd, 5th and 12th months, and subsequently at yearly follow-ups.
Results:
During follow-ups, 26 patients in group 1, and 31 patients in group 2 died. The most common local complication was superficial infection.
Conclusion:
There was no significant difference in mortality during postoperative follow-up between the patients treated with cementless hemiarthroplasty and those treated with cemented hemiarthroplasty for proximal femoral fractures seen in elderly patients.
Keywords:
Cementles hemiarthroplasty, Advanced age, Intertrochanteric femoral fracture, Mortality
References
1Larson S. Treatment of osteoporotic fractures. Scan J Surg. 2002;91:140-146.
2Lee AY, Chua BS, Howe TS. One-year outcome of hip fracture patients admitted to a Singapore hospital: quality of life post-treatment. Singapore Med J. 2007;48:996-999.
3Gjertsen JE, Vinje T, Engesaeter LB, et al. Internal screw fixation compared with bipolar hemiarthroplasty for treatment of displaced femoral neck fractures in elderly patients. J Bone Joint Surg Am. 2010;92:619-628.
4Orsini EC, Byrick RJ, Mullen JBM, et al. Cardiopulmonary function and pulmonary microemboli during arthroplasty using cemented or non-cemented components the role of intramedullary pressure, J Bone Joint Surg. 1987;69:822-832.
5Donaldson AJ, Thomson HE, Harper NJ, et al. Bone cement implantation syndrome. Br J Anaesth. 2009;102:12-22.
6Hinton RY, Lennox DW, Ebert FR, et al. Relative rates of fracture of the hip in the United States. Geographic, sex, and age variations. J Bone Joint Surg Am. 1995;77:695-702.
7Parker MJ, Gurusamy K. Arthroplasties (with and without bone cement) for proximal femoral fractures in adults. Cochrane Database Syst Rev. 2006;19:CD001706.
8Lorich DG, Geller DS, Nielson JH. Osteoporotic pertrochanteric hip fractures. Management and current controversies. J Bone Joint Surg. 2004;86:398-410.
9Ozturk R, Arikan SM. Comparison of locking plate and cephalomedullary nailing in unstable proximal femur fractures J Clin Anal Med. 2018;9:18-22.
10Gjertsen JE, Vinje T, Engesaeter LB, et al. Internal screw fixation compared with bipolar hemiarthroplasty for treatment of displaced femoral neck fractures in elderly patients. J Bone Joint Surg Am. 2010;92:619-628.
11Khorami M, Arti H, Aghdam AA. Cemented versus uncemented hemiarthroplasty in patients with displaced femoral neck fractures. Pak J Med Sci. 2016;32:44-48.
12Chan KC, Gill GS. Cemented hemiarthroplasties for elderly patients with intertrochanteric fractures. Clin Orthop Relat Res. 2000;371:206-215.
13Varley J, Parker MJ. Stability of hip hemiarthroplasties. Int Orthop. 2004;28:274-277.
14Zehir S, Şahin E, Sipahioğlu S, et al. Femur boyun kırıklarına parsiyel protez uygulamasında anterior ve posterior kapsüler açılımın sonuçları. Ulus Travma Acil Cerr Derg. 2013;19:456-462.
15Cordero-Ampuero J, de Dios M. What are the risk factors for infection in hemiarthroplasties and total hip arthroplasties? Clin Orthop Relat Res. 2010;468:3268-3277.
16Solak Ş, Oğuz T, Bektaşer B, et al. Comparison of the two types of endoprosthesis in the treatment of intracapsular hip fractures in elderly patients. Joint Dis Rel Surg. 2002;13:1-4.