Modern cemented Furlong hemiarthroplasty: Are dislocations rates better?

Humans Hip Prosthesis / adverse effects Femoral Neck Fractures / surgery Hemiarthroplasty / adverse effects Prospective Studies Treatment Outcome Prosthesis Design Arthroplasty, Replacement, Hip / adverse effects
Outcomes Patient safety Quality of care Research-quantitative Service improvement Trauma and orthopaedic surgery

Journal

Journal of perioperative practice
ISSN: 2515-7949
Titre abrégé: J Perioper Pract
Pays: England
ID NLM: 101271023

Informations de publication

Date de publication:
Historique:
pubmed: 13 8 2021
medline: 10 1 2023
entrez: 12 8 2021
Statut: ppublish

Résumé

Dislocation following hip hemiarthroplasty is a major complication with increased mortality and morbidity. Data looking at dislocation following contemporary bipolar stems are lacking in literature. Retrospective review of our prospective national hip fracture database over a two-year period. Group 1 comprised of consecutive patients receiving bipolar Furlong prosthesis (N222) while Group 2 was made up of a historical cohort (uncemented; N254). Clinical and radiological records were reviewed to determine dislocation rates, causes and associative factors of dislocations. Data were analysed using SPSS. Following 476 hemiarthroplasties performed during the study period, 12 (2.5%) dislocations were reported (eight in Group 1; four in Group 2). There was no significant difference in dislocation rates (3.6% vs 1.6%) between groups ( There is a statistically significant increase in dislocation rate following use of cemented Furlong prosthesis when compared to similar uncemented prosthesis at the same treatment period. However, when compared to traditional uncemented prosthesis, there is no difference in dislocation rates.

Sections du résumé

BACKGROUND
Dislocation following hip hemiarthroplasty is a major complication with increased mortality and morbidity. Data looking at dislocation following contemporary bipolar stems are lacking in literature.
METHODS
Retrospective review of our prospective national hip fracture database over a two-year period. Group 1 comprised of consecutive patients receiving bipolar Furlong prosthesis (N222) while Group 2 was made up of a historical cohort (uncemented; N254). Clinical and radiological records were reviewed to determine dislocation rates, causes and associative factors of dislocations. Data were analysed using SPSS.
RESULTS
Following 476 hemiarthroplasties performed during the study period, 12 (2.5%) dislocations were reported (eight in Group 1; four in Group 2). There was no significant difference in dislocation rates (3.6% vs 1.6%) between groups (
CONCLUSION
There is a statistically significant increase in dislocation rate following use of cemented Furlong prosthesis when compared to similar uncemented prosthesis at the same treatment period. However, when compared to traditional uncemented prosthesis, there is no difference in dislocation rates.

Identifiants

DOI: 10.1177/17504589211020674 PMID: 34380351
pubmed: 34380351
doi: 10.1177/17504589211020674
doi:

Types de publication

Journal Article

Langues

eng

Pagination

24-29

Auteurs

C U Menakaya (CU)

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Hull, UK.
ORCID: 0000-0003-0171-389X

M Shah (M)

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Hull, UK.
Yorkshire and the Humber Postgraduate Deanery, University of Leeds, Leeds, UK.
ORCID: 0000-0002-7343-8834

H Ingoe (H)

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Hull, UK.
Yorkshire and the Humber Postgraduate Deanery, University of Leeds, Leeds, UK.

R Malhotra (R)

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Hull, UK.
Yorkshire and the Humber Postgraduate Deanery, University of Leeds, Leeds, UK.

A Mannan (A)

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Hull, UK.
Yorkshire and the Humber Postgraduate Deanery, University of Leeds, Leeds, UK.

T Boddice (T)

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Hull, UK.
Yorkshire and the Humber Postgraduate Deanery, University of Leeds, Leeds, UK.

V Allgar (V)

Hull & York Medical School, The University of York, York, UK.

S Gopal (S)

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Hull, UK.

A Mohsen (A)

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Hull, UK.

N Muthukumar (N)

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Hull, UK.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Modern cemented Furlong hemiarthroplasty: Are...
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Prothèse articulaire › Prothèse de hanche › Modern cemented Furlong hemiarthroplasty: Are...
questionsmedicales.fr › Plaies et blessures › Traumatismes de la jambe › Fractures du fémur › Fractures de la hanche › Fractures du col fémoral › Modern cemented Furlong hemiarthroplasty: Are...
questionsmedicales.fr › Procédures de chirurgie opératoire › Implantation de prothèse › Arthroplastie prothétique › Hémiarthroplastie › Modern cemented Furlong hemiarthroplasty: Are...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › Modern cemented Furlong hemiarthroplasty: Are...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Modern cemented Furlong hemiarthroplasty: Are...
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Conception de prothèse › Modern cemented Furlong hemiarthroplasty: Are...
questionsmedicales.fr › Procédures de chirurgie opératoire › Implantation de prothèse › Arthroplastie prothétique › Arthroplastie prothétique de hanche › Modern cemented Furlong hemiarthroplasty: Are...