Key result
Uncemented hip hemiarthroplasty in elderly patients with displaced femoral neck fractures was associated with a 10.6% rate of intra-operative iatrogenic fractures and a 10% one-year mortality rate.
Why the study?
Hemiarthroplasty is recommended for displaced intracapsular femoral neck fractures in elderly patients, but early complications needed evaluation.
What are the short-term complications following uncemented hip hemiarthroplasty in elderly patients with displaced femoral neck fractures?
Observational (n=150)
No
What are the short-term complications following uncemented hip hemiarthroplasty in elderly patients with displaced femoral neck fractures?
Uncemented hemiarthroplasty for displaced femoral neck fractures in elderly patients is associated with a notable rate of complications, particularly intra-operative iatrogenic fractures and 1-year mortality.
Warrants caution with uncemented hemiarthroplasty in elderly femoral neck fractures; leaves open optimal fixation pending randomized trials.
Introduction & Objectives: Hemiarthroplasty is one of the most commonly done procedures and a recommended treatment for intra-capsular displaced fractures of femoral neck in elderly population (>65 years). This study is aimed to evaluate the early complications in such patients following uncemented hemiarthroplasty using unipolar (Austin Moore Prosthesis) and bipolar implants. Method: A series of 150 consecutive patients (between October 2017 and September 2018) treated with uncemented unipolar and bipolar hemiarthroplasty with at least one year follow-up were evaluated. Prospective data collection was attained from hospital and OPD visits viz. patient demographics, intra-operative iatrogenic fractures, deaths, deep infection, dislocation, peri-prosthetic fractures, implant failure and implant related complications. Results: Average age of patients was 72 years (Range 65-101 years). 60% patients were females. Intra-operative iatrogenic fractures occurred in 16 patients (10.6%). There were two intra-operative deaths. Over all one year mortality was 10%. There were 12 early deep wound infections (8%). 6 dislocations were reported. There were 5 peri-prosthetic fractures. 2 patients required conversion to excision arthroplasty and 1 patient had implant breakage.
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Mahi et al. (2020) conducted an observational in Displaced femoral neck fractures (n=150). Uncemented hip hemiarthroplasty was evaluated on Intra-operative iatrogenic fractures. Uncemented hip hemiarthroplasty in elderly patients with displaced femoral neck fractures was associated with a 10.6% rate of intra-operative iatrogenic fractures and a 10% one-year mortality rate.
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