Erratum to: more complications in uncemented compared to cemented hemiarthroplasty for displaced femoral neck fractures: a randomized controlled trial of 201 patients, with one year follow-up

Moerman, Sophie; Mathijssen, Nina M C; Niesten, Dieu Donne; Riedijk, Roeland; Rijnberg, W. J.; Koëter, Sander; Hei, Keetie Kremers van de; Tuinebreijer, W.E.; Molenaar, Tim L.; Nelissen, Rob G H H; Vochteloo, Anne J. H.

doi:10.1186/s12891-017-1661-7

Cited by 4 publications

(4 citation statements)

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“…Our study, with large numbers, strong methods, and high generalizability, adds important information to existing knowledge (107,108,140,(186)(187)(188) and national guidelines (66, 111-113), and might be used in decision-making processes to convince more surgeons to choose cemented stems.…”

Section: Paper IImentioning

confidence: 81%

“…Most FNF patients represent an old, osteoporotic, and fragile population. Several recently published studies have shown that stem fixation with cement has a lower risk of reoperation, especially due to fewer PPFs, compared to uncemented stems (85,(107)(108)(109). This is supported by a recently published biomechanical study on ten femurs from cadaveric specimens, showing that implanting a cemented version of the stem increases the load-to-failure force by 25% compared to implanting an uncemented stem (110).…”

Section: Fixation Of the Femoral Stemmentioning

confidence: 99%

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More reoperations for periprosthetic fracture after cemented hemiarthroplasty with polished taper-slip stems than after anatomical and straight stems in the treatment of hip fractures

Dybvik

Furnes

et al. 2018

The Bone & Joint Journal

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Sammendrag på norskDet forekommer ca. 9000 hoftebrudd hos eldre i Norge årlig. Dette er den hyppigste årsaken til akutt innleggelse i kirurgiske avdelinger i norske sykehus. Det er sannsynligvis den mest alvorlige bruddtypen som ortopeder behandler. Hoftebrudd pasienter blir innlagt hele døgnet, blir operert av både ferske og erfarne leger og representerer en høyrisiko pasient-gruppe med mange tilleggs sykdommer og gjennomsnitts alder rundt 80 år. En av fire pasienter dør innen ett år, og flesteparten oppnår ikke funksjonsnivået som de hadde før bruddet. Det er også et stort behov for rehabilitering og hjemmesykepleie etter behandling og derav høye kostnader for samfunnet. Pasienter som får komplikasjoner etter kirurgi har enda dårligere prognose og høyere dødelighet. Hoftebrudd involverer flere typer hoftenaere brudd. Denne avhandlingen konsentrerer seg om lårhalsbrudd, og spesielt de 3500 pasientene som hvert år blir operert med en delprotese etter lårhalsbrudd. I Norge registrerer kirurgen hver hoftebruddoperasjon på et skjema som sendes til Nasjonalt Hoftebruddregister (NHBR). Dersom pasienten får en komplikasjon og må gjennomgå ny operasjon blir denne registrert på et tilsvarende skjema og koblet til den første operasjonen ved hjelp av pasientens personnummer. Hoftebruddpasientene får også tilsendt spørreskjema etter operasjonen for å svare på hvordan de har det. Dødsfall registrert i Norge kan også kobles til hofteoperasjonen. En delprotese operasjon involverer å erstatte lårhals og lårhode med en protese. Det er i dag ikke enighet om hvilken operasjonstilgang som er best når man opererer halvproteser. Det er heller ikke enighet om man skal bruke en protese som festes med bensement eller en protese som gror fast i benet. Hvis man velger å feste protesen med bensement finnes det forskjellige design på de protesene som er på markedet i dag. Man vet ikke hvilke protesedesign som gir best resultat hos pasientene. I denne doktoravhandlingen har vi brukt NHBR til å gi svar på problemstillingene over. Den består av tre publiserte artikler. 4 I første artikkel viser vi at de som er operert med en bakre kirurgisk tilgang til hoften (og svart på spørreskjema etter operasjon) har tendens til mindre smerte, mer tilfredshet, bedre livskvalitet og mindre rapporterte gangproblemer enn en kirurgisk tilgang rett fra siden. Når man skal velge kirurgisk tilgang ved halvprotese må våre resultater sees i sammenheng med andre studier som viser at den bakre tilgangen har større risiko for en fryktet komplikasjon hvor protesen går ut av ledd. I andre artikkel finner vi at halvproteser som er festet med bensement har mindre risiko for en ny operasjon enn halvproteser som skal gro fast. Vi finner ikke forskjell i risiko for dødsfall det første året mellom metodene. Vi finner heller ikke forskjell i smerte eller livskvalitet mellom metodene for de som har svart på spørreskjema. Vi anbefaler bruk av bensement når man skal feste halvprotese etter lårhalsbrudd for å redusere fare for ny operasjon. I tredje artikkel ser vi på forskjellig...

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Section: Paper IImentioning

confidence: 81%

Section: Fixation Of the Femoral Stemmentioning

confidence: 99%

More reoperations for periprosthetic fracture after cemented hemiarthroplasty with polished taper-slip stems than after anatomical and straight stems in the treatment of hip fractures

Dybvik

Furnes

et al. 2018

The Bone & Joint Journal

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“…These findings were strengthened by our subanalyses on patients from hospitals that only operated uncemented or cemented hemiarthroplasties for a time period, which mitigated selection bias. Our study with large numbers, strong methods, and high generalizability adds important information to existing evidence [ 8 , 16 , 27 , 28 , 43 , 44 ] and national guidelines [ 6 , 29 - 31 ] in the decision-making process. Our results are similar to previous studies and support those findings.…”

Section: Discussionmentioning

confidence: 92%

“…In Western countries, hemiarthroplasty is now the most common treatment for displaced femoral neck fractures [ 5 ]. Several recently published studies have shown that stem fixation with cement is associated with a lower reoperation risk than fixation with uncemented stems [ 16 , 28 , 39 ]. In addition, a review study and a Cochrane review have described less pain and better function after cemented hemiarthroplasty than after uncemented hemiarthroplasty [ 21 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

Cemented or Uncemented Hemiarthroplasty for Femoral Neck Fracture? Data from the Norwegian Hip Fracture Register

Kristensen

Dybvik

Kristoffersen

et al. 2019

Clin Orthop Relat Res

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Background A displaced femoral neck fracture in patients older than 70 years is a serious injury that influences the patient’s quality of life and can cause serious complications or death. Previous national guidelines and a Cochrane review have recommended cemented fixation for arthroplasty to treat hip fractures in older patients, but data suggest that these guidelines are inconsistently followed in many parts of the world; the effects of that must be better characterized. Questions/purposes The purpose of this study was to evaluate a large group of patients in the Norwegian Hip Fracture Register to investigate whether the fixation method in hemiarthroplasty is associated with (1) the risk of reoperation; (2) the mortality rate; and (3) patient-reported outcome measures (PROMs). Methods Longitudinally maintained registry data from the Norwegian Hip Fracture Register with high completeness (93%) and near 100% followup of deaths were used for this report. From 2005 to 2017, 104,993 hip fractures were registered in the Norwegian Hip Fracture Register. Fractures other than intracapsular femoral neck fractures and operative methods other than bipolar hemiarthroplasty, such as osteosynthesis or THA, were excluded. The selection bias risk on using cemented or uncemented hemiarthroplasty is small in Norway because the decision is usually regulated by tender processes at each hospital and not by surgeon. A total of 7539 uncemented hemiarthroplasties (70% women, mean age, 84 years [SD 6] years) and 22,639 cemented hemiarthroplasties (72% women, mean age, 84 years [SD 6] years) were eligible for analysis. Hazard risk ratio (HRR) on reoperation and mortality was calculated in a Cox regression model adjusted for age, sex, comorbidities (according to the American Society of Anesthesiologists classification), cognitive function, surgical approach, and duration of surgery. At 12 months postoperatively, 65% of patients answered questionnaires regarding pain and quality of life, the results of which were compared between the fixation groups. Results A higher overall risk of reoperation for any reason was found after uncemented hemiarthroplasty (HRR, 1.5; 95% CI, 1.4–1.7; p < 0.001) than after cemented hemiarthroplasty. When assessing reoperations for specific causes, higher risks of reoperation because of periprosthetic fracture (HRR, 5.1; 95% CI, 3.5–7.5; p < 0.001) and infection (HRR, 1.2; 95% CI, 1.0–1.5; p = 0.037) were found for uncemented hemiarthroplasty than for cemented procedures. No differences were found in the overall mortality rate after 1 year (HRR, 1.0; 95% CI, 0.9–1.0; p = 0.12). Hemiarthroplasty fixation type was not associated with differences in patients’ pain (19 versus 20 for uncemented and cemented hemiarthroplasties respectively, p = 0.052) or quality of life (EuroQol [EQ]-VAS score 64 versus 64, p = 0.43, EQ5D index score 0.64 versus 0.63, p = 0.061) 1 year after surgery. ...

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Patients with femoral neck fractures treated by bipolar hemiarthroplasty have superior to unipolar hip function and lower erosion rates and pain: a systematic review and meta-analysis of randomized controlled studies

Papavasiliou

Gkekas

Stamiris

et al. 2022

Eur J Orthop Surg Traumatol

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Erratum to: more complications in uncemented compared to cemented hemiarthroplasty for displaced femoral neck fractures: a randomized controlled trial of 201 patients, with one year follow-up

Cited by 4 publications

References 1 publication

More reoperations for periprosthetic fracture after cemented hemiarthroplasty with polished taper-slip stems than after anatomical and straight stems in the treatment of hip fractures

More reoperations for periprosthetic fracture after cemented hemiarthroplasty with polished taper-slip stems than after anatomical and straight stems in the treatment of hip fractures

Cemented or Uncemented Hemiarthroplasty for Femoral Neck Fracture? Data from the Norwegian Hip Fracture Register

Patients with femoral neck fractures treated by bipolar hemiarthroplasty have superior to unipolar hip function and lower erosion rates and pain: a systematic review and meta-analysis of randomized controlled studies

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