Cemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip—a systematic review

Khan, Riaz J.K.; MacDowell, A.; Crossman, P.; Keene, G

doi:10.1016/s0020-1383(01)00101-2

Cited by 73 publications

(57 citation statements)

References 34 publications

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“…Finally, over the years, several new surgical techniques with improved outcomes have been introduced. For example, uncemented femoral components have gained popularity, and limited evidence demonstrates lower short-term mortality rates with these implants, as compared with cemented arthroplasty (9,41).…”

Section: Discussionmentioning

confidence: 99%

Changes in Mortality Patterns Following Total Hip or Knee Arthroplasty Over the Past Two Decades: A Nationwide Cohort Study

Lalmohamed

Vestergaard

Boer

et al. 2014

Arthritis & Rheumatology

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Objective. Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are effective procedures for patients with moderate-to-severe osteoarthritis. Mortality rates after THA and TKA may have changed because of new surgical techniques, improvement of peri-and postoperative care, and performance of surgery in older patients having multiple comorbidities. However, data on secular mortality trends are scarce. We undertook this study to evaluate mortality patterns between 1989 and 2007 in patients undergoing elective THA and TKA.Methods. In a Danish retrospective nationwide cohort study, 71,812 patients who underwent THA and 40,642 patients who underwent TKA were identified between January 1989 and December 2007. All-cause and disease-specific mortality was assessed, stratified by calendar periods. Using Cox proportional hazards models, relative risks (RRs) of mortality were calculated between different calendar periods, adjusted for age, sex, and comorbid diseases. Conclusion. Mortality rates following elective THA and TKA have decreased substantially since the early 1990s, despite patients having more presurgical comorbidity. These findings are reassuring for patients undergoing elective THA or TKA.Total hip arthroplasties (THAs) and total knee arthroplasties (TKAs) are considered safe and effective surgical procedures in patients with moderate-to-severe osteoarthritis (1). Given this effectiveness, the number of these procedures has substantially increased over the past decades. Estimates indicate that 1.8 million procedures are performed worldwide each year (2,3). Nevertheless, studies have shown an excess mortality rate shortly after THA and TKA (4-7), particularly due to venous thromboembolism and acute myocardial infarction (MI) (8). The all-cause mortality rate during the first 90 days following these orthopedic surgeries has been estimated at 0.7%.Improvements in surgical technique and the introduction of new therapeutic agents may have improved survival following THA and TKA during the past

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Section: Discussionmentioning

confidence: 99%

Changes in Mortality Patterns Following Total Hip or Knee Arthroplasty Over the Past Two Decades: A Nationwide Cohort Study

Lalmohamed

Vestergaard

Boer

et al. 2014

Arthritis & Rheumatology

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“…[11][12][13][14] There is evidence showing no increased mortality and, in fact, decreased morbidity with cemented versus uncemented hemiarthroplasty. 15 A review of the Cochrane database did not show increased morbidity or mortality with the use of cemented arthroplasty for #NOF.…”

Section: Discussionmentioning

confidence: 99%

Total hip replacement for the treatment of acute femoral neck fractures: results from the National Joint Registry of England and Wales at 3-5 years after surgery

Stafford

Charman

Borroff

et al. 2012

annals

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INTRODUCTION This paper describes, for the first time, the outcomes of patients undergoing total hip replacement for acute fractured neck of femur (#NOF) as recorded by the National Joint Registry of England and Wales (NJR). METHODS In the NJR we identified 1,302 of 157,232 Hospital Episode Statistics linked patients who had been recorded as having a total hip replacement for acute #NOF between April 2003 and November 2008. RESULTS The revision rate at five years for fully uncemented components was 4.1% (95% confidence interval [CI]: 2.2-7.3%), for hybrid it was 2.2% (95% CI: 0.9%-5.3%) and for fully cemented components 0.9% (95% CI: 0.4-2.0%). Five-year revision rates were increased for those whose operations were performed via a posterior versus a lateral approach. The Kaplan-Meier estimate of 30-day mortality was 1.4% (95% CI: 1.0-2.4%), which is over double the 30-day mortality rate for total hip replacement identified by the Office for National Statistics. The mean length of stay was also increased for those undergoing total hip replacements for #NOF compared with non-emergency indications. CONCLUSIONS Our data suggest that total hip replacements for acute #NOF give comparable results with total hip replacements for other indications.

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“…Hemiarthroplasty remains a common and important treatment in the United States; however, the literature does not clearly suggest whether cementing the femoral stem enhances outcomes [5, 7-10, 12, 14-18, 21, 23]. Systematic reviews have been performed but are either too stringent in criteria or do not provide quantitative assessments [15,21]. A recent Cochrane review included only five studies (all randomized, prospective; two were published in abstract form only) for analysis and data from only one or two studies for evaluation of almost all outcomes of interest [21].…”

Section: Introductionmentioning

confidence: 99%

Systematic Review of Cemented and Uncemented Hemiarthroplasty Outcomes for Femoral Neck Fractures

Ahn

Man

Park

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Although hemiarthroplasties are an important treatment for femoral neck fractures, the literature does not provide a clear approach for selecting the implant fixation method. Therefore, we performed a systematic search of the medical literature and identified 11 prospective and retrospective studies that compared results between cemented and uncemented femoral implant fixation methods. After independent blind data extraction, we compared variables between cemented and uncemented cohorts using two different meta-analysis models. Pooled data represented 1632 cemented and 981 uncemented hemiarthroplasties (average age of patients, 78.9 and 77.5 years, respectively). The average operating room times and blood loss volumes were 95 minutes and 467 mL, respectively, for the cemented and 80 minutes and 338 mL for the uncemented cohorts. Postoperative mortality rates, overall complications, and pain were similar between the two cohorts.

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Cemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip—a systematic review

Cited by 73 publications

References 34 publications

Changes in Mortality Patterns Following Total Hip or Knee Arthroplasty Over the Past Two Decades: A Nationwide Cohort Study

Changes in Mortality Patterns Following Total Hip or Knee Arthroplasty Over the Past Two Decades: A Nationwide Cohort Study

Total hip replacement for the treatment of acute femoral neck fractures: results from the National Joint Registry of England and Wales at 3-5 years after surgery

Systematic Review of Cemented and Uncemented Hemiarthroplasty Outcomes for Femoral Neck Fractures

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