Bateman Bipolar Hip Arthroplasty for Femoral Neck Fractures

Labelle, Lenard W.; Colwill, John C.; Swanson, Alfred B.

doi:10.1097/00003086-199002000-00004

Cited by 57 publications

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“…Calder et al [18] in his study concluded that there is no justification for the use of the expensive bipolar hip prosthesis in femoral neck fracture. On the other hand, La Belle et al [19] reported that bipolar prosthesis resulted in less pain and decreased protrusio in comparison with the conventional fixed-head prosthesis. Lestrange [20] reviewed 496 patients with bipolar replacements for displaced femoral neck fractures and compared them with patients having fixed-head prosthesis.…”

Section: Discussionmentioning

confidence: 99%

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Bipolar Versus Fixed-Head Hip Arthroplasty for Femoral Neck Fractures in Elderly Patients

Qasim¹

2017

WJPPS

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Between 2002 and 2007, fifty elderly patients with displaced femoral neck fractures were treated with hip replacement at Emergency Hospital, wasity hospital .Patients were randomly selected, 25 patients had either cemented or cementless bipolar prosthesis, and another 25 patients had either cemented or cementless fixed-head prosthesis.There were 34 women and 16 men with an average age of 63.5 years (range between 55 and 72 years). All patients were followed up both clinically and radio-logically for an average 4.4 years (range between 2 and 6 years). At the final follow-up, the average Harris hip score among the bipolar group was 92 points (range between 72 and 97 points), while the fixed-head group was 84 points (range between 65 and 95 points).Radiologically, joint space narrowing more than 2 mm was found in only 8% (2 patients) among the bipolar group, and in 28% (7 patients) of the fixed-head group. Through the follow-up period, total hip replacement was needed in two cases of the bipolar group and seven cases of the fixed-head group. Bipolar hemiarthroplasty offered a better range of movement with less pain and more stability than the fixed-head hemiarthroplasty in elderly patients with displaced femoral neck fractures.

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Section: Discussionmentioning

confidence: 99%

“…LaBelle [19] in his Qasim. World Journal of Pharmacy and Pharmaceutical Science study of bipolar hip arthroplasty for femoral neck fractures reported incidence of 0.8% dislocation.…”

Section: Discussionmentioning

confidence: 99%

Bipolar Versus Fixed-Head Hip Arthroplasty for Femoral Neck Fractures in Elderly Patients

Qasim¹

2017

WJPPS

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“…When patients could not be evaluated in person, a questionnaire was used and patients were asked to send radiographs. Acetabular protrusio and cartilage erosion were evaluated as described by LaBelle et al [15]. In brief, acetabular cartilage erosion was assessed by measuring the change of thickness of the acetabular cartilage compared with the postoperative radiograph [15].…”

Section: Methodsmentioning

confidence: 99%

“…Acetabular protrusio and cartilage erosion were evaluated as described by LaBelle et al [15]. In brief, acetabular cartilage erosion was assessed by measuring the change of thickness of the acetabular cartilage compared with the postoperative radiograph [15]. Femoral component loosening was assessed on radiographs by measuring radiolucencies at the cement-bone or prosthesis-cement interface following the methods of Gruen et al [9].…”

Section: Methodsmentioning

confidence: 99%

Cemented Bipolar Hemiarthroplasty Provides Definitive Treatment for Femoral Neck Fractures at 20 Years and Beyond

Roth

Abdel

Harmsen

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Displaced femoral neck fractures frequently are treated with bipolar hemiarthroplasties. Despite the frequency with which bipolar hemiarthroplasty is used to treat these fractures, there are few long-term data. Questions/purposes We sought to evaluate (1) the cumulative incidence of revision for any reason of bipolar hemiarthroplasties at 20 years, and the proportion of patients who lived more than 20 years who still have the prosthesis in situ from the index arthroplasty, (2) the cumulative incidence of aseptic loosening at 20 years, and (3) the Harris hip score of the surviving patients at long term.Methods We performed 376 cemented bipolar hemiarthroplasties for displaced femoral neck fractures in 359 patients between 1976 and 1985. At a minimum of followup of 20 years (mean, 24 years; range, 20-31 years), 339 of 359 patients (94%) were deceased, leaving 20 patients in the study group. Of those, one patient was confirmed to be lost to followup and two others had radiographic followup only. Three hundred fifty-nine patients (99.2%) (376 of the original 379 hips) were followed until death, revision of the hemiarthroplasty, or for at least 20 years (of clinical followup). Bipolar hemiarthroplasty was performed for displaced femoral neck fractures. Cemented fixation was the standard of care between 1976 and 1985 at our institution. The mean age of the patients at the time of surgery was 79 years (range, 60-99 years). The cumulative incidence of revision, estimated with death as a competing risk, and radiographs were evaluated for signs of aseptic loosening by a surgeon not involved in the clinical care of the patients. Clinical function was evaluated with the Harris hip score. The mean age of the patients at the time of surgery was 79 years. Results The 20-year cumulative incidence of revision for any reason was 3.5% (95% CI, 1.6%-5.3%). Of the 20 patients who survived more than 20 years, seven had the implant intact. The 20-year cumulative incidence of revision for aseptic loosening was 1.4% (95% CI, 0.2%-2.6%). The mean Harris hip score in patients who were still living and patient who did not have revision surgery was 63 ± 22, however 13 of the 20 patients had undergone revision surgery. Conclusions The long-term survivorship of bipolar hemiarthroplasty prostheses used to treat displaced femoral neck fractures in the elderly was high, and the procedure can be considered definitive for the majority of elderly patients with a femoral neck fracture. In this series, 6%

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“…[2][3][4][5] A wide variety of cemented and cementless versions of hemiarthroplasty are being used worldwide with debate about advantages between the two still going on. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] With cardiopulmonary complications, due to cementing and difficulty in revision cementless prosthesis are being increasingly used.prosthesis to hold in cementless prosthesis and increases the incidence of complications like periprosthetic fractures. 17,18 However modern hydroxyapatite coated stems have made use of cementless hemiarthroplasty possible even in weaker osteoporotic bones.…”

Section: Introductionmentioning

confidence: 99%

Cementless bipolar hemiarthroplasty for displaced fracture neck of femur with modular hydroxyapatite coated stem in elderly with cardiopulmonary co-morbidities

Bhat

Ali²,

Gulzar

et al. 2017

Int J Res Med Sci

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Background: Bipolar hemiarthroplasty is one of the common procedures done for fracture neck of femur in elderly. Debate about Cemented or cementless is still on. Cementing increases perioperative mortality by causing significant hemodynamic changes or embolization. Patients with cardiopulmonary complications are at higher risk of cementing complications. We report our series of 31 cases of fracture neck of femur with cardiopulmonary diseases operated over 2 years with modular cementless bipolar hemiarthroplasty.Methods: 31 elderly patients with cardiopulmonary co-morbidities (age=75 to 97 years) with displaced femoral neck fractures were operated between January 2011 to December 2013. Cementless bipolar hemiarthroplasty using hydroxyapatite coated stem was done by single surgeon using same implant in all the patients through anterolateral approach. Clinical and radiological follow-up was done with mean follow up of 54 months (36-72 months).Results: Total 31 cases with cardiopulmonary comorbidities were operated. The average follow up was 54 months. No intraoperative mortality was seen. 3 patients had splitting of femur during canal preparation. 1 patient died due to cardiac arrest in the post-operative period. 1 patient had surgical site infection. 3 patients had hemodynamic abnormalities and 1 patient had significant limb length discripency (1.5 cm). 2 patients died in the follow up because of comorbidities. 27 patients reached to pre-injury status with average harris hip score of 86 at final follow up.Conclusions: Cementless bipolar hemiarthroplasty with hydroxyapatite coated stem is a good option for femoral neck fractures in elderly patients with cardiopulmonary complications without risking the harmful effects of cementing.

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Bateman Bipolar Hip Arthroplasty for Femoral Neck Fractures

Cited by 57 publications

References 0 publications

Bipolar Versus Fixed-Head Hip Arthroplasty for Femoral Neck Fractures in Elderly Patients

Bipolar Versus Fixed-Head Hip Arthroplasty for Femoral Neck Fractures in Elderly Patients

Cemented Bipolar Hemiarthroplasty Provides Definitive Treatment for Femoral Neck Fractures at 20 Years and Beyond

Cementless bipolar hemiarthroplasty for displaced fracture neck of femur with modular hydroxyapatite coated stem in elderly with cardiopulmonary co-morbidities

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