Cemented versus uncemented hemiarthroplasty of the hip in patients with a femoral neck fracture: a comparison of two modern stem design implants

  • M. R. M. Frenken
  • M. G. M. Schotanus
  • E. H. van Haaren
  • R. Hendrickx
Original Article • HIP - ARTHROPLASTY
  • 4 Downloads

Abstract

Purpose

We wished to compare the outcome of two types of cemented and uncemented modern stem design implants after hemiarthroplasty, with both an Orthopaedic Data Evaluation Panel rating of 10A.

Methods

This retrospective study compares data obtained from two centres, with a total study population of 655 (n = 393 cemented, n = 262 uncemented). Patients were matched at baseline for gender, age, surgery side, American Society of Anesthesiologists score, body mass index and pre-operative haemoglobin level. Outcome measurements were prosthesis-related complications, pre- and post-operative, with reoperation rate and mortality and other complications after 1 year, surgery time, blood loss and immobility at discharge.

Results

There were no significant differences in mortality after 1 year, total other complications, immobility at the time of discharge and total prosthesis-related complications between both groups. Significantly more periprosthetic fractures and post-operative infections were seen in the uncemented group with significantly more reoperations compared to the cemented group. Significant differences were seen in cardiovascular complications, blood loss and surgery time in favour of the uncemented group.

Conclusions

In consequence of the significant higher prosthesis-related complications (e.g. infections, periprosthetic fractures and reoperations) in the uncemented group in this study, we recommend cemented hemiarthroplasty in patients with a femoral neck fracture.

Level of evidence

Level III, Case Controlled Study.

Keywords

Femoral neck fracture Hemiarthroplasty Hip replacement arthroplasty Cemented Uncemented 

Notes

Compliance with ethical standards

Conflict of interest

MRM Frenken, MGM Schotanus, EH van Haaren and R Hendrickx declare that they have no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangements) that might pose a conflict of interest in connection with the submitted manuscript.

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgerySint MaartenskliniekNijmegenThe Netherlands
  2. 2.Department of Orthopaedic Surgery and TraumatologyZuyderland Medical CentreSittard-GeleenThe Netherlands

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