Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?

Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?

Emre Yurdakul,1 Fatih Karaaslan,2 Murat Korkmaz,2 Fuat Duygulu,3 Ali Baktir41Department of Orthopedics and Traumatology, Osmaniye State Hospital, 2Department of Orthopedics and Traumatology, Faculty of Medicine, Bozok University, Yozgat, 3Department of Orthopedics and Traumatology, Kayseri...

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Autores principales: Yurdakul E, Karaaslan F, Korkmaz M, Duygulu F, Baktır A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
Materias:
Hemiarthroplasty
cemented
femoral neck fracture
Geriatrics
RC952-954.6
Acceso en línea:https://doaj.org/article/3e8c1b24aad041159f47985092c7061e
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spelling oai:doaj.org-article:3e8c1b24aad041159f47985092c7061e2021-12-02T01:00:54ZIs cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?1178-1998https://doaj.org/article/3e8c1b24aad041159f47985092c7061e2015-06-01T00:00:00Zhttps://www.dovepress.com/is-cemented-bipolar-hemiarthroplasty-a-safe-treatment-for-femoral-neck-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Emre Yurdakul,1 Fatih Karaaslan,2 Murat Korkmaz,2 Fuat Duygulu,3 Ali Baktir41Department of Orthopedics and Traumatology, Osmaniye State Hospital, 2Department of Orthopedics and Traumatology, Faculty of Medicine, Bozok University, Yozgat, 3Department of Orthopedics and Traumatology, Kayseri Training Hospital, 4Department of Orthopedics and Traumatology, Modern Dünyam Hospital, Kayseri, TurkeyObjectives: Controversy exists regarding the use of cement in hemiarthroplasty when treating a displaced femoral neck fracture in elderly patients. The primary hypothesis of this study was that the use of cement would afford better visual analog pain and activity scores in elderly patients.Methods: This study included 133 patients over 65 years of age admitted to our clinics from 2006 to 2012 for the surgical treatment of a displaced femoral neck fracture. All patients were treated via hemiarthroplasty. The patients (66 males, 67 females; mean age: 78.16 years; range: 60–110 years) were followed-up regularly. All patients were divided into one of two groups: group A was treated with cement; and group B without. Both groups were compared in terms of preoperative features (demographics and associated diseases), pre- and postoperative complications, mortality rates, pain and activity levels, and hip scores. Hospitalization time, average surgical duration, and time from fracture to operation were also recorded. Mean follow-up duration was 30.9 (range: 5–51) months.Results: We found no significant between-groups differences in terms of length of hospital stay, Harris Hip Score, complications, or follow-up mortality rates. Walking ability and pain scores were better in the cemented group in the early follow-up period. Duration of surgery and perioperative mortality rates were somewhat lower in the cementless group, but the difference was not statistically significant.Conclusion: The use of cement during hip hemiarthroplasty in patients over 65 years of age had no negative impact on mortality or morbidity. Hemodynamic changes during cement application are important, but it is noteworthy that patients fitted with cemented endoprostheses had increased levels of activity and lower pain levels.Keywords: hemiarthroplasty, cemented, femoral neck fractureYurdakul EKaraaslan FKorkmaz MDuygulu FBaktır ADove Medical PressarticleHemiarthroplastycementedfemoral neck fractureGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1063-1067 (2015)
institution DOAJ
collection DOAJ
language EN
topic Hemiarthroplasty
cemented
femoral neck fracture
Geriatrics
RC952-954.6
spellingShingle Hemiarthroplasty
cemented
femoral neck fracture
Geriatrics
RC952-954.6
Yurdakul E
Karaaslan F
Korkmaz M
Duygulu F
Baktır A
Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?
description Emre Yurdakul,1 Fatih Karaaslan,2 Murat Korkmaz,2 Fuat Duygulu,3 Ali Baktir41Department of Orthopedics and Traumatology, Osmaniye State Hospital, 2Department of Orthopedics and Traumatology, Faculty of Medicine, Bozok University, Yozgat, 3Department of Orthopedics and Traumatology, Kayseri Training Hospital, 4Department of Orthopedics and Traumatology, Modern Dünyam Hospital, Kayseri, TurkeyObjectives: Controversy exists regarding the use of cement in hemiarthroplasty when treating a displaced femoral neck fracture in elderly patients. The primary hypothesis of this study was that the use of cement would afford better visual analog pain and activity scores in elderly patients.Methods: This study included 133 patients over 65 years of age admitted to our clinics from 2006 to 2012 for the surgical treatment of a displaced femoral neck fracture. All patients were treated via hemiarthroplasty. The patients (66 males, 67 females; mean age: 78.16 years; range: 60–110 years) were followed-up regularly. All patients were divided into one of two groups: group A was treated with cement; and group B without. Both groups were compared in terms of preoperative features (demographics and associated diseases), pre- and postoperative complications, mortality rates, pain and activity levels, and hip scores. Hospitalization time, average surgical duration, and time from fracture to operation were also recorded. Mean follow-up duration was 30.9 (range: 5–51) months.Results: We found no significant between-groups differences in terms of length of hospital stay, Harris Hip Score, complications, or follow-up mortality rates. Walking ability and pain scores were better in the cemented group in the early follow-up period. Duration of surgery and perioperative mortality rates were somewhat lower in the cementless group, but the difference was not statistically significant.Conclusion: The use of cement during hip hemiarthroplasty in patients over 65 years of age had no negative impact on mortality or morbidity. Hemodynamic changes during cement application are important, but it is noteworthy that patients fitted with cemented endoprostheses had increased levels of activity and lower pain levels.Keywords: hemiarthroplasty, cemented, femoral neck fracture
format article
author Yurdakul E
Karaaslan F
Korkmaz M
Duygulu F
Baktır A
author_facet Yurdakul E
Karaaslan F
Korkmaz M
Duygulu F
Baktır A
author_sort Yurdakul E
title Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?
title_short Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?
title_full Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?
title_fullStr Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?
title_full_unstemmed Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?
title_sort is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/3e8c1b24aad041159f47985092c7061e
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AT korkmazm iscementedbipolarhemiarthroplastyasafetreatmentforfemoralneckfractureinelderlypatients
AT duyguluf iscementedbipolarhemiarthroplastyasafetreatmentforfemoralneckfractureinelderlypatients
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