Periprosthetic bone loss following hemiarthroplasty: a comparison between cemented and cementless hip prosthesis

Vidović, Dinko; Matejčić, Aljoša; Punda, Marija; Ivica, Mihovil; Tomljenović, Mladen; Bekavac-Bešlin, Miroslav; Mijić, August; Bakota, Bore

doi:10.1016/s0020-1383(13)70201-8

Cited by 28 publications

(28 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…512131415161718) The process from the initial publication searches to the final selection of clinical trials is displayed in a flowchart (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Comparison of Postoperative Infection-Related Complications between Cemented and Cementless Hemiarthroplasty in Elderly Patients: A Meta-Analysis

2017

View full text Add to dashboard Cite

BackgroundThe purpose of this review was to assess the risk of infection-related complications following cemented and cementless hemiarthroplasty in elderly patients.MethodsWe searched PubMed, EMBASE, and Cochrane Library databases for published randomized clinical trials comparing cemented hemiarthroplasty with cementless hemiarthroplasty in patients with a femoral neck fracture and more than 65 years of age. Eight randomized controlled trials were available for analysis. A meta-analysis (with a fixed-effects model) and a meta-regression analysis (with continuous variables) were performed.ResultsThe 8 trials included 1,204 hips (608 cemented and 596 cementless). There was no significant difference between the cemented and cementless groups regarding the incidence of deep infection, superficial infection, pneumonia, and urinary tract infection. The overall incidence of postoperative deep infection was 2.3% (14/608) in the cemented group and 1.2% (7/596) in the cementless group (relative risk, 1.74; 95% confidence interval, 0.74 to 4.14; I2 = 0%; p = 0.206). No publication bias was found in the funnel plot.ConclusionsResults of our meta-analysis suggest that when selecting a fixation method for hemiarthroplasty, infection-related postoperative complications are not the determinant factor to consider.

show abstract

“…512131415161718) The process from the initial publication searches to the final selection of clinical trials is displayed in a flowchart (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Comparison of Postoperative Infection-Related Complications between Cemented and Cementless Hemiarthroplasty in Elderly Patients: A Meta-Analysis

2017

View full text Add to dashboard Cite

show abstract

“…In 1 patient in Group A, the case underwent revision by total hip arthroplasty at the end of the second postoperative year due to aseptic loosening. In Group B, revision via total hip arthroplasty was performed after a mean duration of 16.2 months [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] due to malformation of the prosthesis in 2 patients and aseptic loosening in 5 patients. Comparison of the re-operation rates revealed statistically significant low values in Group A compared to Group B (p < 0.05) ( Table 4) .…”

Section: Resultsmentioning

confidence: 99%

“…The cemented technique has been used more frequently for bipolar hemiarthroplasty in this patient group compared to the cementless technique [14,15]. Most authors have been concerned about a potential risk of poor fit of the cementless technique in the stovepipe-shaped canal of the osteoporotic femur and have favoured the cemented technique to obtain an immediate stability of the prosthesis [14,15].…”

Section: Groupsmentioning

confidence: 99%

“…Most authors have been concerned about a potential risk of poor fit of the cementless technique in the stovepipe-shaped canal of the osteoporotic femur and have favoured the cemented technique to obtain an immediate stability of the prosthesis [14,15]. However, recent studies have shown that use of cement is associated with an increased risk of cardiopulmonary complications in elderly patients especially ASA !…”

Section: Groupsmentioning

confidence: 99%

“…The primary rationale for avoiding the use of cement comes from previous studies contributing the cementing to peri-operative death and occurrence of pulmonary embolism [17][18][19]. Vidovic et al [15] suggested that cemented hemiarthroplasty in elderly patients gave better results according to cementless hemiarthroplasty. Nonetheles, in our study show that cementless hemiarthroplasty is more effective especially ASA 3 patients.…”

Section: Groupsmentioning

confidence: 99%

See 2 more Smart Citations

What should be the preferred choice of hemiarthroplasty technique in American Society of Anesthesiologists (ASA) class III patients with femoral neck fractures? Cemented or cementless

Çıçek¹,

Seyfettinoğlu²,

Kılıçarslan³

et al. 2015

Injury

View full text Add to dashboard Cite

Surgical interventions for treating intracapsular hip fractures in older adults: a network meta-analysis

Lewis

Macey

Stokes

et al. 2022

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

BackgroundHip fractures are a major healthcare problem, presenting a major challenge and burden to patients and healthcare systems. The number of hip fractures globally is rising rapidly. The majority of intracapsular hip fractures are treated surgically. ObjectivesTo assess the relative effects (benefits and harms) of all surgical treatments used in the management of intracapsular hip fractures in older adults, using a network meta-analysis of randomised trials, and to generate a hierarchy of interventions according to their outcomes. Search methodsWe searched CENTRAL, MEDLINE, Embase, Web of Science, and five other databases in July 2020. We also searched clinical trials databases, conference proceedings, reference lists of retrieved articles and conducted backward-citation searches. Selection criteriaWe included randomised controlled trials (RCTs) and quasi-RCTs comparing different treatments for fragility intracapsular hip fractures in older adults. We included total hip arthoplasties (THAs), hemiarthroplasties (HAs), internal fixation, and non-operative treatments. We excluded studies of patients with specific pathologies other than osteoporosis or resulting from high energy trauma. Data collection and analysisTwo review authors independently assessed studies for inclusion. One review author completed data extraction which was checked by a second. We collected data for three outcomes at different time points: mortality and health-related quality of life (HRQoL) -both reported within 4 months, at 12 months, and after 24 months of surgery, and unplanned return to theatre (at end of study follow-up).We performed a network meta-analysis (NMA) with STATA software, using frequentist methods, and calculated the differences between treatments using risk ratios (RRs) and standardised mean differences (SMDs) and their corresponding 95% confidence intervals (CIs). We also performed direct comparisons using the same codes. Main resultsWe included 119 studies (102 RCTS, 17 quasi-RCTs) with 17,653 participants with 17669 intracapsular fractures in the review; 83% fractures were displaced. The mean participant age ranged from 60 to 87 years and 73% were women.

show abstract

Periprosthetic bone loss following hemiarthroplasty: a comparison between cemented and cementless hip prosthesis

Cited by 28 publications

References 51 publications

Comparison of Postoperative Infection-Related Complications between Cemented and Cementless Hemiarthroplasty in Elderly Patients: A Meta-Analysis

Comparison of Postoperative Infection-Related Complications between Cemented and Cementless Hemiarthroplasty in Elderly Patients: A Meta-Analysis

What should be the preferred choice of hemiarthroplasty technique in American Society of Anesthesiologists (ASA) class III patients with femoral neck fractures? Cemented or cementless

Surgical interventions for treating intracapsular hip fractures in older adults: a network meta-analysis

Contact Info

Product

Resources

About