Comment diagnostiquer une nécessité d'hémiarthroplastie ?
Un examen clinique et des imageries comme des radiographies sont nécessaires.
FracturesRadiographie
#2
Quels symptômes indiquent une hémiarthroplastie ?
Douleur intense, mobilité réduite et déformation de l'articulation sont des signes.
DouleurMobilité
#3
Quels examens sont recommandés avant l'opération ?
Des analyses sanguines et des examens d'imagerie sont souvent requis.
Analyses sanguinesImagerie médicale
#4
Quel rôle joue l'IRM dans le diagnostic ?
L'IRM aide à évaluer les tissus mous et les lésions articulaires.
IRMTissus mous
#5
Quand envisager une hémiarthroplastie ?
En cas d'échec des traitements conservateurs pour des douleurs articulaires sévères.
Traitement conservateurDouleurs articulaires
Symptômes
5
#1
Quels sont les symptômes d'une arthrose nécessitant une hémiarthroplastie ?
Raideur, douleur persistante et perte de fonction articulaire sont fréquents.
ArthroseRaideur articulaire
#2
La douleur est-elle toujours présente avant l'opération ?
Oui, la douleur est souvent constante et peut s'aggraver avec le temps.
DouleurProgression de la maladie
#3
Y a-t-il des signes d'infection à surveiller ?
Rougeur, chaleur et gonflement autour de l'articulation peuvent indiquer une infection.
InfectionGonflement
#4
Comment la mobilité est-elle affectée ?
La mobilité est souvent limitée, rendant les activités quotidiennes difficiles.
MobilitéActivités quotidiennes
#5
Les symptômes varient-ils selon l'articulation ?
Oui, les symptômes peuvent différer selon l'articulation affectée, comme la hanche ou le genou.
ArticulationsHanche
Prévention
5
#1
Comment prévenir les blessures nécessitant une hémiarthroplastie ?
Maintenir un poids santé et pratiquer des exercices réguliers peut aider.
Prévention des blessuresExercice physique
#2
Y a-t-il des mesures préventives pour l'arthrose ?
Une alimentation équilibrée et l'exercice peuvent réduire le risque d'arthrose.
AlimentationArthrose
#3
Les chutes peuvent-elles être évitées ?
Oui, en améliorant l'équilibre et en adaptant l'environnement domestique.
ChutesÉquilibre
#4
Le renforcement musculaire aide-t-il ?
Oui, le renforcement musculaire peut stabiliser les articulations et prévenir les blessures.
Renforcement musculaireStabilité articulaire
#5
Les examens réguliers sont-ils importants ?
Oui, des examens réguliers peuvent détecter précocement des problèmes articulaires.
Examens médicauxProblèmes articulaires
Traitements
5
#1
Quels traitements précèdent l'hémiarthroplastie ?
Les traitements conservateurs incluent la physiothérapie et les médicaments anti-inflammatoires.
PhysiothérapieMédicaments anti-inflammatoires
#2
Quelle est la durée de l'hospitalisation après l'opération ?
L'hospitalisation dure généralement de 2 à 5 jours selon la récupération.
HospitalisationRécupération
#3
Quels sont les soins post-opératoires essentiels ?
La gestion de la douleur, la rééducation et le suivi médical sont cruciaux.
Soins post-opératoiresRééducation
#4
Quand peut-on reprendre une activité normale ?
La reprise d'activités normales peut prendre de 6 semaines à plusieurs mois.
Activités normalesRécupération
#5
Quels types de prothèses sont utilisés ?
Des prothèses en métal, en plastique ou en céramique sont couramment utilisées.
ProthèsesMatériaux médicaux
Complications
5
#1
Quelles sont les complications possibles après l'hémiarthroplastie ?
Les complications incluent l'infection, la thrombose et la luxation de la prothèse.
InfectionThrombose
#2
Comment prévenir les infections post-opératoires ?
Des antibiotiques prophylactiques et une bonne hygiène sont recommandés.
AntibiotiquesHygiène
#3
Quels signes indiquent une thrombose ?
Gonflement, douleur et rougeur dans la jambe peuvent signaler une thrombose.
ThromboseGonflement
#4
La réhabilitation peut-elle réduire les complications ?
Oui, une réhabilitation adéquate aide à minimiser les complications post-opératoires.
RéhabilitationComplications post-opératoires
#5
Les complications sont-elles fréquentes ?
Les complications sont rares mais peuvent survenir, nécessitant une surveillance.
SurveillanceComplications
Facteurs de risque
5
#1
Quels facteurs augmentent le risque d'hémiarthroplastie ?
L'âge avancé, l'obésité et les antécédents de blessures articulaires sont des facteurs de risque.
Âge avancéObésité
#2
Les maladies chroniques influencent-elles le risque ?
Oui, des maladies comme le diabète et l'arthrite augmentent le risque de complications.
DiabèteArthrite
#3
Le mode de vie joue-t-il un rôle ?
Un mode de vie sédentaire et une mauvaise alimentation peuvent accroître le risque.
Mode de vieAlimentation
#4
Les antécédents familiaux sont-ils importants ?
Oui, des antécédents familiaux d'arthrose ou de maladies articulaires augmentent le risque.
Antécédents familiauxMaladies articulaires
#5
Le sexe influence-t-il le risque d'hémiarthroplastie ?
Oui, les femmes sont souvent plus susceptibles de nécessiter une hémiarthroplastie en raison de l'arthrose.
SexeArthrose
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"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont rares mais peuvent survenir, nécessitant une surveillance."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque d'hémiarthroplastie ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'âge avancé, l'obésité et les antécédents de blessures articulaires sont des facteurs de risque."
}
},
{
"@type": "Question",
"name": "Les maladies chroniques influencent-elles le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme le diabète et l'arthrite augmentent le risque de complications."
}
},
{
"@type": "Question",
"name": "Le mode de vie joue-t-il un rôle ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un mode de vie sédentaire et une mauvaise alimentation peuvent accroître le risque."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux sont-ils importants ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux d'arthrose ou de maladies articulaires augmentent le risque."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque d'hémiarthroplastie ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes sont souvent plus susceptibles de nécessiter une hémiarthroplastie en raison de l'arthrose."
}
}
]
}
]
}
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
Roth | McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, Western University, 268 Grosvenor Street, Room D0-213, London, Ontario N6A4L6, Canada. Electronic address: gking@uwo.ca.
The survival of humeral hemiarthroplasties in patients with relatively intact glenoid cartilage could theoretically be extended by minimizing the associated postoperative glenoid erosion. Ceramic has ...
Intact right cadaveric shoulders from donors aged between 50 and 65 years were assigned to a ceramic group (n = 8, four male cadavers) and a metal group (n = 9, four male cadavers). A dedicated should...
At the completion of the wear test, the total thickness of the cartilage had significantly decreased in both the ceramic and metal groups, by 27% (p = 0.019) and 29% (p = 0.008), respectively. However...
Although ceramic has better tribological properties than metal, we did not find evidence that its use in hemiarthroplasty of the shoulder in patients with healthy cartilage is a better alternative tha...
Arthroplasty has become the standard of care for displaced femoral neck fractures in the geriatric cohort. However, details regarding optimal implant design and fixation strategy continue to be debate...
All geriatric fragility hip fractures at a level 1 trauma center (2014 to 2019) were retrospectively reviewed for the fracture pattern, fixation methodology, and outcome, yielding 707 femoral neck fra...
Patients who underwent press-fit hemiarthroplasty had a significantly higher rate of revision surgery (7.8% vs 3.9%; P = 0.006). Press-fit cases had a trend toward a decreased risk of contralateral fr...
In this study, we found a markedly longer survival time after press-fit hemiarthroplasty, which we believe reflects surgeons' tendencies to cement the femoral prosthesis in patients with more comorbid...
Hemiarthroplasty (HA) for hip fractures can be performed with a unipolar or bipolar head. We describe the use of unipolar and bipolar HA after a hip fracture in the Netherlands and determined revision...
All HAs for an acute hip fracture registered in the Dutch Arthroplasty Register (LROI) during 2007 to 2021 were included; 44,127(88%) unipolar and 6,013(12%) bipolar HAs. Competing risk survival analy...
The 1-year, 5-year, and 10-year revision rates were comparable for unipolar and bipolar HA. Cox regression analysis showed a hazard ratio of 1.2 (95% confidence interval (CI) 1.0 to 1.4)) after adjust...
The revision rate for bipolar HA and unipolar HA was comparable. However, after adjustment for potential confounders the risk for revision showed an estimated 20% increased revision risk for bipolar h...
The aim of this study was to report the three-year follow-up for a series of 400 patients with a displaced intracapsular fracture of the hip, who were randomized to be treated with either a cemented p...
The mean age of the patients was 85 years (58 to 102) and 273 (68%) were female. Follow-up was undertaken by a nurse who was blinded to the hemiarthroplasty that was used, at intervals for up to three...
A total of 210 patients (52.5%) died within three years of surgery. One patient was lost to follow-up. Recovery of mobility was initially significantly better in those treated with a cemented hemiarth...
These results further support the use of a cemented hemiarthroplasty for the routine management of elderly patients with a displaced intracapsular fracture of the hip....
Geriatric intertrochanteric fractures remain a major public health concern due to the considerable disability, morbidity, mortality, and health care costs associated with these injuries. The underlyin...
A retrospective 1:1 matched cohort of 150 patients who had intertrochanteric fractures treated with either hemiarthroplasty or ORIF was developed using a local institutional database. Demographic, per...
Unstable intertrochanteric fractures treated with ORIF were associated with significantly more blood loss and an increased need for revision surgery. This effect was most pronounced in Arbeitsgemeinsc...
Hemiarthroplasty may improve outcomes for patients with unstable intertrochanteric fractures. The benefit of this technique is likely maximized in Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaed...
The incidence of hemiarthroplasty dislocation for fracture neck of femurs ranges between 1 and 15% and the one-year mortality is 49- 70%. Revision of hemiarthroplasty to total hip replacement using a ...
A retrospective analysis of the number of patients who had recurrent dislocations of hemiarthroplasty for fracture neck of femurs were carried out. The data were obtained from NHFD (National Hip Fract...
A total of 3994 patients were admitted during the study period of which 1735 (43.4%) patients had hemiarthroplasty. Fifty-six (3.23%) patients had dislocation of hemiarthroplasty. The mean age was 81....
Treatment of recurrent hemiarthroplasty dislocation by revising to a total hip replacement with a constrained liner gives good functional and mortality outcomes....
Anemia is one of the most common complications after hip fracture surgery. Tranexamic acid (TXA) has been considered effective in preventing anemia in total hip arthroplasty, but its role in hemiarthr...
A systematic literature search was performed to identify studies comparing adult patients who underwent hemiarthroplasty for a hip fracture with and without perioperative TXA. The primary outcome was ...
In total, 13 articles were included, comprising 54,843 patients of whom 14.1% received perioperative TXA. TXA was applied intravenous in ten studies, topical in two studies, one study investigated bot...
TXA can be considered effective and safe for patients undergoing hip hemiarthroplasty, with a reduction in transfusion rate and increase in postoperative hemoglobin, without increasing adverse events....
Treatment options for correcting limb-length discrepancy after limb-salvage reconstruction for proximal tibial osteosarcoma in children have several limitations. Therefore, we aimed to evaluate the fe...
We conducted a comprehensive retrospective analysis of the data of pediatric patients with osteosarcoma of the proximal tibia who underwent surgery between December 2008 and November 2018 at our cente...
The follow-up period ranged between 11 and 159 months, with a median of 84 (62, 129) months. The overall 5-year survival rate was 83.2%. Thirty-nine patients survived at the end of the follow-up perio...
Hemiarthroplasty in children reduces limb-length discrepancy in adulthood by rebuilding cruciate ligaments, lateral collateral ligaments, and the joint capsule, thereby improving knee stability....
Femoral neck fractures are common injuries in the elderly and represent a major source of morbidity and mortality. Due to the benefits, bipolar hip hemiarthroplasty (BHH) is a popular method to treat....
We used a prospective, randomized observational study design, where we enrolled 83 patients at a level-I-trauma center presenting with indication for BHH. We followed up the participants at defined in...
Concerning postoperative pain sensation, the anterior group had statistically significantly decreased pain levels at one (p = 0.02), seven (p = 0.04) and 14 days (p = 0.02) following the intervention ...
Although we compared two minimally invasive approaches, our results shows a statistically significant difference in pain intensity and mobility for the early postoperative period using the direct ante...
Several different designs of hemiarthroplasty are used to treat intracapsular fractures of the proximal femur, with large variations in costs. No clinical benefit of modular over monoblock designs has...
Patients recorded by the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) between 1 September 1999 and 31 December 2020 who underwent hemiarthroplasty for the treatment...
A total of 41,949 hemiarthroplasties were included. Exeter V40 with a Unitrax head was the most commonly used (n = 20,707, 49.4%). The overall rate of revision was small. A total of 28,201 patients (6...
There was no difference in implant survival between all the designs of hemiarthroplasty in the first three years following surgery, supporting the selection of a cost-effective design of hemiarthropla...