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Cemented hemiarthroplasty for femoral neck fractures in elderly patients

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Author:
No author available
Journal Title:
JOURNAL OF CLINICAL REHABILITATIVE TISSUE ENGINEERING RESEARCH
Issue:
26
DOI:
10.3969/j.issn.1673-8225.2012.26.010
Key Word:
水泥型半髋置换;股骨颈骨折;半髋置换;人工股骨头置换;老年;医学植入物;人工关节

Abstract: BACKGROUND: A discussion is ongoing whether the elderly patients with femoral neck fractures should be treated with a non-cemented or a cemented hemiarthroplasty.OBJECTIVE: To evaluated the results of cemented hemiarthroplasty for femoral neck fractures in the patients older than 85 years with high-risk clinical problems and functional outcomes.METHODS: Thirty-two patients with femoral neck fractures were treated with cemented bipolar hemiarthroplasty. X-ray examination after operation was done at 1, 3 and 6 months and annually in all patients. The mean follow-up period was 2 to 5 years.RESULTS AND CONCLUSION: Medical complications occurred in five patients (16%) and four patients (25%) died within the follow-up period. Dislocation occurred in one patient (3%). None of the patients had heterotopic ossification. The mean Harris-hip score was 84. Cemented hemiarthroplasty can provide stability, security and good outcomes for the treatment of femoral neck fractures in elderly patients.

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