Bipolar hemiarthroplasty for the treatment of femoral neck fractures with minimally invasive anterior approach in elderly

Bűcs, Gábor; Dandé, Árpád; Patczai, Balázs; Sebestyén, A.; Almási, Róbert; Nöt, László G.; Wiegand, N.

doi:10.1016/j.injury.2020.02.053

Cited by 19 publications

(29 citation statements)

References 27 publications

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“…Sixteen studies reported the operation time of the 2 methods. The analysis showed no statistically significant differences in all comparisons of operative times: AA vs. LA (10,20,24,26,32) (MD: −1.01 95% CI: −7.05-5.04 I 2 = 91% P = 0.74 Figure 4A); PA vs. LA (29,31,36,42,43) (MD: −6.11 95% CI: −14.27-2.06 I 2 = 97% P = 0.14 Figure 4B); PA vs. AA (17,22,33,39,44,45) (MD: 4.55 95% CI: −13.40-22.51 I 2 = 99% P = 0.62 Figure 4C). All I 2 ≥ 50% and there was statistical heterogeneity, hence the random effects model was used for analysis.…”

Section: Operation Timementioning

confidence: 81%

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A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis

Liang

Wu²,

Shihao³

et al. 2023

Front. Surg.

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There are three traditional surgical approaches to hemiarthroplasty (HA) for femoral neck fractures, respectively, the anterior approach (AA), the lateral approach (LA) and the posterior approach (PA). However, the optimum approach is still controversial, the purpose of this meta-analysis is to identify the merits and demerits of all three approaches. All clinical published studies in PubMed, Web of Science, Embase, and the Cochrane Library from January 2000 to April 2022 were searched which compared different surgical approaches and covered surgery-related outcomes and frequent complications. Five randomized controlled trials and 26 cohort studies for a total of 31 clinical trials were included in the meta-analysis. The dislocation of PA was significantly higher than LA (OR: 3.00 95% CI: 2.25–4.01 I2 = 27% P < 0.00001) and AA (OR: 6.61 95% CI: 2.28–19.13 I2 = 0% P = 0.0005); PA was substantially more than LA in terms of risk of postoperative reoperation (P < 0.05); meanwhile, AA has markedly shorter hospital length of stays than LA. The remaining items showed no significant differences in the results.The results of this meta-analysis demonstrated that the risk of PA dislocation and reoperation is higher with hemiarthroplasty, and AA has markedly shorter hospital length of stays than LA.

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Section: Operation Timementioning

confidence: 81%

“…Regarding patient length of stay, four studies (10,24,26,32) reported results comparing AA with LA as well as six studies (22,25,33,37,39,44) showed results for PA and AA. The meta-analysis showed a statistically significant difference in length of stay when comparing AA with LA (SMD: −2.79…”

Section: Length Of Hospitalizationmentioning

confidence: 99%

A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis

Liang

Wu²,

Shihao³

et al. 2023

Front. Surg.

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“…Several factors affecting early mobilization after bipolar HA surgery including medical history, duration of surgery, implant position, LLD, actions during surgery, and the patient's inflammatory status. The combination of these factors might cause delays in early mobilization in postoperative patients [1], [2].…”

Section: Introductionmentioning

confidence: 99%

Lower Creatine Kinase, IL-6 Levels and Femoral Offset Values Lead to Better Outcome Harris Hip Score Post Bipolar Hemiarthroplasty Surgery Day 14 and Day 30

Pramana¹,

Kawiyana²,

Aryana³

et al. 2023

EJMED

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Bipolar Hemiarthroplasty (HA) procedure allows patients after a neck femur fracture to be able to perform early mobilization. Hence complications due to prolonged bed rest could be prevented. Early mobilization should be achieved immediately after bipolar HA surgery. There are several factors affecting early mobilization in patients, some of which include tissue damage during surgery (creatine kinase), inflammatory status of patients (IL-6) and implant position (femoral offset). This study aims to show whether lower levels of creatine kinase, IL-6 and femoral offset can result in better Harris Hip Score following Bipolar HA surgery day 14 and day 30. By knowing the influencing factors, it is hoped that more accurate management could be carried out. Thus, the outcome parameters of early mobilization in the form of returning to daily life and work activities are getting better and the risk of complications can be avoided. This study compared the Harris Hip Score (HHS) in patients who'd already had Bipolar Hemiarthroplasty using a prospective cohort study design (Bipolar HA) who met the inclusion criteria at the Central General Hospital (RSUP) Prof I.G.N.G Ngoerah Denpasar and provided them informed consent. In order to do descriptive analysis, normality and homogeneity tests, and proportion comparison analysis, the research data was entered into a research sheet and processed using a computer and the SPSS for Windows version 26 program. In this study, the sample data (n=32) was not normally distributed. Lower levels of IL-6 (< 15 pg/ml), and FO values (< 42.5 mm) resulted in better HHS values in patients following Bipolar HA surgery day-14. Additionally, lower levels of CK (< 75 U/L), IL-6 (< 15 pg/ml), and FO values (< 42.5 mm) resulted in better HHS values in patients following bipolar HA surgery on day-30. Chi-Square analysis showed that the results of CK levels day-14 were statistically insignificant (p= 0.072>0.05), while the results of CK levels day-30 were statistically significant (p=0.033<0.05). Moreover, chi-Square analysis showed that the results of day-14 and day-30 were statistically significant on IL-6 levels (p-0.016<0.05 and p= 0.015<0.05), and FO values (p= 0.012<0.05 and p-0.033<0.05). It is concluded that lower levels of IL-6, and FO values resulted in better HHS values in patients following Bipolar HA surgery day-14. Additionally, lower levels of CK, IL-6, and FO values resulted in better HHS values in patients following bipolar HA surgery on day-30.

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“…In recent decades, the world population's survival has risen globally. This rise in longevity associated with today's more active elderly lifestyle and the chronicity present in this demographic, such as loss incoordination, muscle strength, reflexes, and bone mineral density, results in osteopenia and osteoporosis, has led to ria sing in cases of trauma and thus fractures in the elderly population (4). In older adults, these fractures are the primary cause of injury, physical impairment, and death (5).…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation in Hip Dislocation with Bipolar Hemiarthroplasty in Geriatric Patient - A Case Report

Rathi¹,

Ubare²,

Khurana³

2022

Int J Health Sci Res

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Hip fracture is the most common injury in the elderly; the rate of occurrence rises exponentially with age, and the aging of the population will ensure that hip fracture remains a major clinical challenge and public health problem in the future. Hip fractures are still the most common cause of morbidity and mortality in the elderly. Hip fractures increase in frequency as people get older. Even though bipolar hemiarthroplasty of the hip is a popular technique, little is known regarding the frequency and treatment of postoperative dislocation. This study looked at 1,934 hips that had been treated with primary bipolar hemiarthroplasty. In older patients with displaced femoral neck fractures, bipolar hemiarthroplasty has also been used to treat osteoarthritis, inflammatory arthritis, and osteonecrosis. Although dislocation after primary bipolar hemiarthroplasty is infrequent, it is linked to a high likelihood of recurrence. Intertrochanteric femur fractures are common in the elderly. Because of increased life expectancy and osteoporosis, their prevalence has risen. Patients are encouraged to move and exercise the affected limbs soon after hip arthroplasty, minimizing bed rest and the rate of problems. THA is a more complicated and expensive procedure than bipolar hemiarthroplasty (BA). Internal fixation is emphasized, as well as early mobilization. For the treatment of sub-capital femoral fractures, hip hemiarthroplasty is a common procedure. Key words: Hip dislocation, Bipolar hemiarthroplasty, Geriatric population, physical rehabilitation.

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Bipolar hemiarthroplasty for the treatment of femoral neck fractures with minimally invasive anterior approach in elderly

Cited by 19 publications

References 27 publications

A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis

A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis

Lower Creatine Kinase, IL-6 Levels and Femoral Offset Values Lead to Better Outcome Harris Hip Score Post Bipolar Hemiarthroplasty Surgery Day 14 and Day 30

Rehabilitation in Hip Dislocation with Bipolar Hemiarthroplasty in Geriatric Patient - A Case Report

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