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Cementless hemiarthroplasty in femoral neck fractures: evaluation of clinical results and measurement of migration by EBRA-FCA

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Abstract

Aim of the present study was to evaluate migration rates of cementless primary hemiarthroplasty in acute femoral neck fractures. In a longitudinal, prospective study 46 patients were treated by cementless hemiarthroplasty. Clinical follow up was correlated with the EBRA-FCA method. In 30% of all patients stem migration amounted to more than 2 mm; further, these patients were seen to have a high level of activity. A high degree of migration in more than 30% of all patients requires critical scepticism toward further use of the investigated cementless stem as hemiarthroplasty. According to literature, migration of more than 2 mm suggests a high probability of early aseptic loosening. In patients with a low degree of activity good results could be observed; nevertheless, in patients with a high level of activity the combination of the investigated cementless stem with a solid fracture head cannot be recommended.

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Authors and Affiliations

  1. Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria

    T. Klestil, P. Gföller, W. Schmoelz & M. Blauth

  2. Department of Orthopedics, Medical University Innsbruck, Innsbruck, Austria

    R. Biedermann, A. Krüger & M. Krismer

  3. Department of Trauma Surgery, University of Bonn, Bonn, Germany

    C. Rangger

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  1. T. Klestil
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  2. R. Biedermann
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  3. A. Krüger
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  4. P. Gföller
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  7. M. Krismer
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Correspondence to T. Klestil.

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Klestil, T., Biedermann, R., Krüger, A. et al. Cementless hemiarthroplasty in femoral neck fractures: evaluation of clinical results and measurement of migration by EBRA-FCA. Arch Orthop Trauma Surg 126, 380–386 (2006). https://doi.org/10.1007/s00402-006-0133-6

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  • DOI: https://doi.org/10.1007/s00402-006-0133-6

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