Comparison of functional outcomes and complications of cemented vs uncemented total hip arthroplasty in the elderly neck of femur fracture patients: A systematic review and meta-analysis

Raja, Balgovind S.; Gowda, Aditya K.S.; Singh, Sukhmin; Ansari, Sajid Ali; Kalia, Roop Bhushan; Paul, Souvik

doi:10.1016/j.jcot.2022.101876

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…The use of cementless fixation may increase the risk of reoperation due to periprosthetic fractures [ 17 ]. Through a meta-analysis, Raja et al [ 18 ] proved that cemented prosthesis group had better results and fewer complications, such as lower revision rate of prosthesis, and elderly patients should be given priority to use cemented prosthesis. Fernandez et al [ 19 ] also demonstrated that in patients over 60 years with hip fractures, cemented hemiarthroplasty resulted in a significantly improved quality of life and a lower risk of periprosthetic fractures compared with cementless hemiarthroplasty.…”

Section: Discussionmentioning

confidence: 99%

The short-term outcomes of cementless stem for hip arthroplasty in the elderly patients: comparison with patients < 65 years

Wang

Deng

Huang

et al. 2022

BMC Musculoskelet Disord

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Objective The use of cement or cementless femoral stem prosthesis for hip arthroplasty in elderly patients has been controversial. This study investigated the efficacy and safety of cementless femoral stem in elderly patients (age ≥ 65 years). Methods The short-term efficacy of primary hip arthroplasty with cementless femoral stem in our hospital from January 2014 to June 2021 was retrospectively analyzed. Patients were divided into two groups according to age: young group (< 65 years) and the elder group (≥ 65 years). The evaluation index was the Harris Hip score (Harris), postoperative femoral stem prosthesis sinking distance and femoral plant-related complications (periprosthetic fracture, prosthesis loosening, infection, dislocation, etc.). Results There were 72 cases of 86 hips in the young group and 83 cases of 92 hips in the elder group. The recovery trend of functional score in the elder group was similar to that in the young group, and the Harris score increased from (38.35 ± 18.21) before surgery to (86.91 ± 12.55) at last follow-up (p < 0.01). Compared with the two groups at the same time of 3 months, 6 months and 12 months after operation, the sinking distance of the elder group was significantly greater (P < 0.05). Even in the elder group, there was a significant difference in sinking distance between 6 and 3 months after surgery (2.44 ± 0.49 mm vs 2.10 ± 0.65 mm, P = 0.004). However, there was no significant difference between 12 and 6 months (2.53 ± 0.53 mm vs 2.44 ± 0.49 mm, P = 0.40). A total of 10 patients in the elder group and 6 patients in the young group had a complication event (P = 0.36). Conclusions Elderly patients with cementless femoral stems can achieve metal-bone integration slightly longer than young patients, but short-term clinical outcomes can be restored to a satisfactory level with adequate safety. However, the long-term efficacy still needs to be verified by multicenter, large sample size and prospective clinical follow-up results.

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Section: Discussionmentioning

confidence: 99%

The short-term outcomes of cementless stem for hip arthroplasty in the elderly patients: comparison with patients < 65 years

Wang

Deng

Huang

et al. 2022

BMC Musculoskelet Disord

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“…On the other hand, acetabular fixation failure was not encountered in cementless implants in Coden’s study, revision being essentially secondary to dislocation [ 50 ]. In case of femoral neck fracture in elderly patients, cemented prostheses have better functional outcomes (higher Harris Hip score) and lower rates of revision, fracture, and dislocation than uncemented implants, even though no difference exists in terms of visual analog pain scale, loosening rate, and heterotopic ossification [ 51 ].…”

Section: Types Of Hamentioning

confidence: 99%

Imaging in Hip Arthroplasty Management Part 2: Postoperative Diagnostic Imaging Strategy

Lombard¹,

Gillet

Germain³

et al. 2022

JCM

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Hip arthroplasty (HA) is a frequently used procedure with high success rates, but 7% to 27% of the patients complain of persistent postsurgical pain 1 to 4 years post-operation. HA complications depend on the post-operative delay, the type of material used, the patient’s characteristics, and the surgical approach. Radiographs are still the first imaging modality used for routine follow-up, in asymptomatic and painful cases. CT and MRI used to suffer from metallic artifacts but are nowadays central in HA complications diagnosis, both having their advantages and drawbacks. Additionally, there is no consensus on the optimal imaging workup for HA complication diagnosis, which may have an impact on patient management. After a brief reminder about the different types of prostheses, this article reviews their normal and pathologic appearance, according to each imaging modality, keeping in mind that few abnormalities might be present, not anyone requiring treatment, depending on the clinical scenario. A diagnostic imaging workup is also discussed, to aid the therapist in his imaging studies prescription and the radiologist in their practical aspects.

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Femoral neck fractures

2023

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Comparison of functional outcomes and complications of cemented vs uncemented total hip arthroplasty in the elderly neck of femur fracture patients: A systematic review and meta-analysis

Cited by 5 publications

References 29 publications

The short-term outcomes of cementless stem for hip arthroplasty in the elderly patients: comparison with patients < 65 years

The short-term outcomes of cementless stem for hip arthroplasty in the elderly patients: comparison with patients < 65 years

Imaging in Hip Arthroplasty Management Part 2: Postoperative Diagnostic Imaging Strategy

Femoral neck fractures

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