Cemented hemiarthroplasty or hip replacement for intracapsular neck of femur fracture? A comparison of 7732 matched patients using national data

Jameson, Simon; Lees, Deborah; James, P S B R; Johnson, Andrew D.; Nachtsheim, Christopher J.; McVie, James L.; Rangan, Amar; Müller, Susanne; Reed, Mike

doi:10.1016/j.injury.2013.03.021

Cited by 44 publications

(56 citation statements)

References 39 publications

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IntroductionThe optimal treatment of displaced fractures of the femoral neck in the elderly population is the replacement of the femoral head by arthroplasty surgery [1][2][3]. This approach has been based on the reported results by several trials that have shown that prosthetic replacement of the femoral head in this patient group improves both functional outcomes and re-operation rates [4][5][6][7].

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mentioning

confidence: 99%

Timing of internal fixation of femoral neck fractures. A systematic review and meta-analysis of the final outcome

Papakostidis¹,

Panagiotopoulos²,

Piccioli³

et al. 2015

Injury

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confidence: 99%

Timing of internal fixation of femoral neck fractures. A systematic review and meta-analysis of the final outcome

Papakostidis¹,

Panagiotopoulos²,

Piccioli³

et al. 2015

Injury

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“…Treatment options include THA and bipolar hemiarthroplasty [2,12,18,26]. The optimal surgical treatment of displaced femoral neck fractures is still debated.…”

Section: Discussionmentioning

confidence: 99%

“…The radiographic data showed that the implants continued to function well mechanically at long-term followup in the few remaining patients. Because some studies of bipolar hemiarthroplasties are registry-based, they do not include a radiographic analysis [6,12,13,19].…”

Section: Discussionmentioning

confidence: 99%

“…In elderly patients, the fractures often are treated with unipolar or bipolar hemiarthroplasty or THA [5,7,12,16,24]. Studies have shown satisfactory short-to mid-term results of bipolar hemiarthroplasties in terms of survival and generally highvalidated outcomes scores in elderly patients with femoral neck fractures [5,7,12].…”

Section: Introductionmentioning

confidence: 99%

“…It is important to understand short-and mid-term clinical results and the long-term likelihood of reoperation or revision of two commonly used treatment options, THA and bipolar hemiarthroplasty [12,18,26].…”

Section: Introductionmentioning

confidence: 99%

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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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Neck of femur fracture: who gets a total hip replacement? A review of 230 eligible patients

Bhattacharjee

Richards

Marusza

et al. 2020

Eur J Trauma Emerg Surg

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Cemented hemiarthroplasty or hip replacement for intracapsular neck of femur fracture? A comparison of 7732 matched patients using national data

Cited by 44 publications

References 39 publications

Timing of internal fixation of femoral neck fractures. A systematic review and meta-analysis of the final outcome

Timing of internal fixation of femoral neck fractures. A systematic review and meta-analysis of the final outcome

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

Neck of femur fracture: who gets a total hip replacement? A review of 230 eligible patients

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