Bone Loss Following Cementless Hemiarthroplasty for the Treatment of Femoral Neck Fracture.

Bone loss Clinical outcome DEXA Elderly Gruen Periprosthetic fracture

Journal

Indian journal of orthopaedics
ISSN: 0019-5413
Titre abrégé: Indian J Orthop
Pays: Switzerland
ID NLM: 0137736

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 24 05 2019
accepted: 27 08 2019
entrez: 19 6 2020
pubmed: 19 6 2020
medline: 19 6 2020
Statut: epublish

Résumé

With the advances in medicine, an increasing number of the ageing population are a public health concern in terms of age-related complications. Among them, displaced neck fractures often require surgical intervention or arthroplasty to achieve the mobilization of the elderly and good life quality. The aim of the study is to monitor the changes in bone mineral density (BMD) around the femoral stem and the effects on functional outcomes in patients treated with cementless hemiarthroplasty following femoral neck fracture. Seventy-one patients aged 70 years or older who were treated with cementless hemiarthroplasty for a displaced femoral neck fracture were prospectively followed for 2 years. The percent change in the periprosthetic BMD in each Gruen zone was compared to the baseline using dual-energy X-ray absorptiometry (DEXA). Demographic factors [age, body mass index (BMI), and sex] that could possibly influence BMD and the clinical outcome were evaluated. Fifty-one patients were available for the final follow-up. The mean age was 76.5 (range 70-89) years. The mean BMI was 28.9 (range 22.7-37.2). The mean Harris hip score at the final follow-up was 84.3 (range 72-93). There was a significant decrease in BMD in all Gruen zones ( Cementless hemiarthroplasty for the treatment of femoral neck fracture in elderly patients achieves a good clinical outcome despite significant bone loss around the femoral stem. The reduction in BMD is more pronounced in the metaphyseal region.

Sections du résumé

BACKGROUND BACKGROUND
With the advances in medicine, an increasing number of the ageing population are a public health concern in terms of age-related complications. Among them, displaced neck fractures often require surgical intervention or arthroplasty to achieve the mobilization of the elderly and good life quality. The aim of the study is to monitor the changes in bone mineral density (BMD) around the femoral stem and the effects on functional outcomes in patients treated with cementless hemiarthroplasty following femoral neck fracture.
MATERIALS AND METHODS METHODS
Seventy-one patients aged 70 years or older who were treated with cementless hemiarthroplasty for a displaced femoral neck fracture were prospectively followed for 2 years. The percent change in the periprosthetic BMD in each Gruen zone was compared to the baseline using dual-energy X-ray absorptiometry (DEXA). Demographic factors [age, body mass index (BMI), and sex] that could possibly influence BMD and the clinical outcome were evaluated.
RESULTS RESULTS
Fifty-one patients were available for the final follow-up. The mean age was 76.5 (range 70-89) years. The mean BMI was 28.9 (range 22.7-37.2). The mean Harris hip score at the final follow-up was 84.3 (range 72-93). There was a significant decrease in BMD in all Gruen zones (
CONCLUSIONS CONCLUSIONS
Cementless hemiarthroplasty for the treatment of femoral neck fracture in elderly patients achieves a good clinical outcome despite significant bone loss around the femoral stem. The reduction in BMD is more pronounced in the metaphyseal region.

Identifiants

pubmed: 32549960
doi: 10.1007/s43465-019-00009-1
pii: 9
pmc: PMC7270220
doi:

Types de publication

Journal Article

Langues

eng

Pagination

454-462

Informations de copyright

© Indian Orthopaedics Association 2020.

Déclaration de conflit d'intérêts

Conflict of interestThe authors declare that they have no conflict of interest.

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Auteurs

Mert Murat (M)

Department of Orthopaedic Surgery, Yeniyuzyil University Medical School, Istanbul, Turkey.

Cenk Ermutlu (C)

Department of Orthopedics and Traumatology, Uludag University Medical School, Bursa, Turkey.

Ethem Ayhan Unkar (EA)

Department of Orthopaedic Surgery, Istanbul Metin Sabanci Baltalimanı Training and Research Hospital for Bone Diseases, Istanbul, Turkey.

Sertaç Topalhafızoglu (S)

Department of Orthopaedic Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey.

Ahmet Şenel (A)

Department of Orthopaedic Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey.

Yusuf Öztürkmen (Y)

Department of Orthopaedic Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey.

Classifications MeSH