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2008 | 3 | 2 | 207-213
Tytuł artykułu

Primary total hip arthroplasty for displaced intracapsular fracture of the femoral neck: Medium-term functional and radiographic outcomes

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The number of complications after primary total hip arthroplasty for displaced intracapsular fractures of the femoral neck is higher than that after operations for osteoarthritis. The aim of this study is to evaluate the number of complications and mid-term functional and radiological findings of patients after primary THA for displaced intracapsular fractures of the femoral neck. Between 1995 and 1998, we operated on a total of 89 patients for acute displaced intracapsular fractures of the femoral neck, i.e. Garden Type 3 and 4. In all the patients we evaluated intraoperative and early postoperative complications. We reviewed clinical and radiological results in 65 patients. The only intraoperative complication was abruption of the greater trochanter. Early postoperative complications occurred in 13 patients (15%). The specific complications, THA dislocation, occurred in 3 patients. Non-specific complications were recorded in 10 patients. No delayed healing of the surgical wound, neural lesion or early, delayed or late infection was recorded. Of 65 patients followed-up for an average of 78 months (range, 62–109 months), 8 patients underwent revision surgery. Of 57 patients with primary THA, very good and good clinical results according to the Harris Hip Score were recorded in 48 patients (84%) and poor results in only 2 patients (4%). Nine of 57 followed-up patients showed radiological signs of loosening (16%). The radiolucent line could be seen in 3 patients in the region of the cup, in 1 patient in the region of the femoral component and in 5 patients in both components. Clinical complaints that would result in indication for reimplantation were recorded in none of the mentioned patients. Number of complications, functional results and resumption of full self-reliance by patients after THA for an intracapsular fracture of the femoral neck are so positive that we consider the indication of THA for a displaced femoral neck fracture fully justified.
Wydawca
Czasopismo
Rocznik
Tom
3
Numer
2
Strony
207-213
Opis fizyczny
Daty
wydano
2008-06-01
online
2008-04-09
Twórcy
  • Department of Orthopaedics, 3rd Faculty of Medicine, Charles University and University Hospital Královské Vinohrady, 100 34, Prague, Czech Republic , dzupa@fnkv.cz
  • Department of Orthopaedics, 3rd Faculty of Medicine, Charles University and University Hospital Královské Vinohrady, 100 34, Prague, Czech Republic
  • Department of Orthopaedics, 3rd Faculty of Medicine, Charles University and University Hospital Královské Vinohrady, 100 34, Prague, Czech Republic
  • Department of Orthopaedics, 3rd Faculty of Medicine, Charles University and University Hospital Královské Vinohrady, 100 34, Prague, Czech Republic
  • Department of Orthopaedics, 3rd Faculty of Medicine, Charles University and University Hospital Královské Vinohrady, 100 34, Prague, Czech Republic
Bibliografia
  • [1] Bhandari M., Devereaux P.J., Swiontkowski M.F., Tornetta P., Obremskey W., Koval K.J., et al., Internal fixation compared with arthroplasty for displaced fractures of the femoral neck, J. Bone Joint Surg. [Am.], 2003, 85-A, 1673–1681
  • [2] Bhandari M., Devereaux P.J., Tornetta P., Swiontkowski M.F., Berry D.J., Haidukewych G., et al., Operative management of displaced femoral neck fractures in elderly patients, J. Bone Joint Surg. [Am.], 2005, 87-A, 2122–2130 http://dx.doi.org/10.2106/JBJS.E.00535[Crossref]
  • [3] Bonnaire F., Lein T., Hohaus T., Weber A., Protetische Versorgung der proximalen Femurfrakturen, Unfallchirurg, 2005, 108, 387–400 http://dx.doi.org/10.1007/s00113-005-0942-z[Crossref]
  • [4] Coates R.L., Armour P., Treatment of subcapital femoral fractures by primary total hip replacement, Injury, 1979, 11, 132–135 http://dx.doi.org/10.1016/S0020-1383(79)80010-8[Crossref]
  • [5] Koval K.J., Zuckerman J.D., Hip fractures: I. Overview and evaluation and treatment of femoralneck fractures, J. Am. Acad. Orthop. Surg., 1994, 2, 141–149
  • [6] Schleicher I., Kordelle J., Jürgensen I., Haas H., Melzer C., Die Schenkelhalsfrakturen beim alten Menschen - Bipolare Hemiendoprothese vs. Totalendoprothse, Unfallchirurg, 2003, 106, 467–471 http://dx.doi.org/10.1007/s00113-003-0597-6[Crossref]
  • [7] Sharma S., Draviraj K.P., Bhamra M.S., Primary total hip replacement for acute displaced subcapital femoral fractures with a minimal three-year followup, Hip International, 2005, 15, 33–37
  • [8] Teasdall R.D., Webb L.X., Innovations in the management of the hip fractures, Orthopaedics, 2003, 26, 843–849
  • [9] Tidermark J., Ponzer S., Svensson O., Söderqvist A., Törnkvist H., Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly, J. Bone Joint Surg. [Br.], 2003, 85-B, 380–388 http://dx.doi.org/10.1302/0301-620X.85B3.13609[Crossref]
  • [10] Estrada L.S., Volgas D.A., Stannard J.P., Alonso J.E., Fixation failure in femoral neck fractures, Clin. Orthop., 2002, 399, 110–118 http://dx.doi.org/10.1097/00003086-200206000-00013[Crossref]
  • [11] Greenough C.G., Jones J.R., Primary total hip replacement for displaced subcapital fracture of the femur, J. Bone Joint Surg. [Br.], 1988, 70-B, 639–643
  • [12] Ruchholtz S., Täger G., Nast-Kolb D., Die infizierte Hüftgelenksendoprothese, Unfallchirurg, 2004, 107, 307–319 http://dx.doi.org/10.1007/s00113-004-0751-9[Crossref]
  • [13] Taine W.H., Armour P.C., Primary total hip replacement for displaced subcapital fractures of the femur, J. Bone Joint Surg. [Br.], 1985, 67-B, 214–217
  • [14] DeLee J.G., Charnley J., Radiological demarcation of cemented sockets in total hip replacement, Clin. Orthop., 1976, 121, 20–32
  • [15] Engh C.A., Massin P., Surthers K.E., Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components, Clin. Orthop., 1990, 257, 107–128
  • [16] Gruen T.A., McNeice G.M., Amstutz H.C.: “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening, Clin. Orthop., 1979, 141, 17–27
  • [17] Abboud J.A., Patel R.V., Booth R.E., Nazarian D.G., Outcomes of total hip arthroplasty are similar for patients with displaced femoral neck fractures and osteoarthritis, Clin. Orthop., 2004, 421, 151–154 http://dx.doi.org/10.1097/01.blo.0000127114.67635.19[Crossref]
  • [18] Delamarter R., Moreland J.R., Treatment of acute femoral neck fractures with total hip arthroplasty, Clin. Orthop., 1987, 218, 68–74
  • [19] Gebhard J.S., Amstutz H.C., Zinar D.M., Dorey F.J., A comparison of total hip arthroplasty and hemiarthroplasty for treatment of acute fracture of the femoral neck, Clin. Orthop., 1992, 282, 123–131
  • [20] Healy W.L., Iorio R., Total hip arthroplasty: optimal treatment for displaced femoral neck fractures in elderly patients, Clin. Orthop., 2004, 429, 43–48 http://dx.doi.org/10.1097/01.blo.0000150273.13949.62[Crossref]
  • [21] Jónsson B., Sernbo I., Carlsson A., Fredin H., Johnell O., Social function after cervical hip fracture: a comparison of hook-pins and total hip replacement in 47 patients, Acta Orthop. Scand., 1996, 67, 431–434 http://dx.doi.org/10.3109/17453679608996662[Crossref]
  • [22] Kirschner P., Blum J., Totalendoprotetischer Hüftgelenkersatz: der goldene Standard?, Osteosynthese International, 2000, 8, 173–176
  • [23] Rodriguez-Merchan E.C., Displaced intracapsular hip fractures: hemiarthroplasty or total arthroplasty?, Clin. Orthop., 2002, 399, 72–77 http://dx.doi.org/10.1097/00003086-200206000-00010[Crossref]
  • [24] Rogmark C., Carlsson A., Johnell O., Sernbo I., Costs of internal fixation and arthroplasty for displaced femoral neck fracture, Acta Orthop. Scand., 2003, 74, 293–198 http://dx.doi.org/10.1080/00016470310014210[Crossref]
  • [25] Cech O., Dzupa V., Svatos F., The uncemented cup of the CLS Spotorno joint endoprosthesis: 5-years results, Acta Chir. Orthop. Traumatol. Cech., 2001, 68, 10–17, (in Czech)
  • [26] Dzupa V., Cech O., Pacovsky V., Pazdirek P., Evaluation of results after reimplantation of total hip arthroplasty cemented cup, Acta Chir. Orthop. Traumatol. Cech., 2004, 71, 31–36, (in Czech)
  • [27] Pazdirek P., Bartonicek J., Dzupa V., The uncemented self-threading Ultima cup: first 5 years experience, Acta Chir. Orthop. Traumatol. Cech., 2001, 68, 24–30, (in Czech)
  • [28] Dzupa V., Cech O., Klezl Z., Krbec M., Our experience with non-cemented femoral components of total endoprostheses of the hip joint type Schenker, Acta Chir. Orthop. Traumatol. Cech., 1993, 60, 278–283, (in Czech)
  • [29] Narayan K.K., George T., Functional outcomes of fracture neck treated with total hip replacement versus bipolar arthroplasty in a South Asian population, Arch. Orthop. Trauma Surg., 2006, 126, 545–548 http://dx.doi.org/10.1007/s00402-006-0182-x[Crossref]
  • [30] Geesink R., Prevention and treatment of recurrent dislocation after total hip arthroplasty, European Instructional Course Lectures, 2005, 7, 127–142
  • [31] Landor I., Vavrik P., Sosna A., Bek J., Total hip joint replacement with the Walter type of prosthesis: long-term results, Acta Chir. Orthop. Traumatol. Cech., 2001, 68, 281–288, (in Czech)
  • [32] Morscher E.W., Berli B., Clauss M., Grappiolo G., Outcomes of the MS-30 cemented femoral stem, Acta Chir. Ortop. Traumatol. Cech., 2005, 72, 153–159
  • [33] Symeonides P.P., Pournaras J., Petsatodes G., Christoforides J., Hatzokos I., Patazis R., Total hip arthroplasty in neglected congenital dislocation of the hip, Clin. Orthop., 1997, 341, 55–61
  • [34] Josten C., Tiemann A.H., Komplikationen nach proximalen Femurfrakturen, OP-Journal, 2002, 17, 148–153 http://dx.doi.org/10.1055/s-2007-977590[Crossref]
  • [35] Dayican A., Unal V., Ozkan G., Portakal S., Tumoz M.A., The uncemented CLS expansion cup as a component of a hybrid system in primary total hip arthroplasty: a prospective study, Hip International, 2004, 14, 223–228
  • [36] Grappiolo G., Blaha J.D., Gruen T.A., Burastero G., Spotorno L., Primary total hip arthroplasty using a grit-blasted, press-fit femoral prosthesis: long-term results with survivorship analysis, Hip International, 2002, 12, 55–72
  • [37] Stedry V., Hajny P., Long-term outcomes after total hip arthroplasty Poldi, Acta Chir. Orthop. Traumatol. Cech., 1997, 64, 282–291, (in Czech)
  • [38] Bhandari M., Tornetta P., Ellis T., Audige L., Sprague S., Kuo J.C., et al., Hierarchy of evidence: differences in results between non-randomized studies and randomized trials in patients with femoral neck fractures, Arch. Orthop. Trauma Surg., 2004, 124, 10–16 http://dx.doi.org/10.1007/s00402-003-0559-z[Crossref]
  • [39] Blomfeldt R., Törnkvist H., Ponzer S., Söderqvist A., Tidermark J., Comparison of internal fixation with total hip replacement for displaced femoral neck fractures: randomized, controlled trial performed at four years, J. Bone Joint Surg. [Am.], 2005, 87-A, 1680–1688 http://dx.doi.org/10.2106/JBJS.D.02655[Crossref]
  • [40] Jackson M., Learmonth I.D., The treatment of nonunion after intracapsular fracture of the proximal femur, Clin. Orthop., 2002, 399, 119–128 http://dx.doi.org/10.1097/00003086-200206000-00014[Crossref]
  • [41] Kenzora J.E., Magaziner J., Hudson J., Hebel J.R., Young Y., Hawkes W., et al., Outcome after hemiarthroplasty for femoral neck fractures in the elderly, Clin. Orthop., 1998, 348, 51–58
  • [42] Lu-yao G.L., Keller R.B., Littenberg B., Wennberg J.E., Outcomes after displaced fractures of the femoral neck: a meta-analysis of one hundred and six published reports, J. Bone Joint Surg. [Am.], 1994, 76-A, 15–25
  • [43] McKinley J.C., Robinson C.M., Treatment of displaced intracapsular hip fractures with total hip arthroplasty: comparison of primary arthroplasty with early salvage arthroplasty after failed internal fixation, J. Bone Joint Surg. [Am.], 2002, 84-A, 2010–2015
  • [44] Raaymakers E.L., Schafroth M., Die mediale Schenkelhalsfraktur. Kontroversen in der Behandlung, Unfallchirurg, 2002, 105, 178–186 http://dx.doi.org/10.1007/s00113-001-0385-0[Crossref]
  • [45] Malchau H., Herberts P., Eisler T., Garellick G., Söderman P., The Swedish Total Hip Replacement Register, J. Bone Joint Surg. [Am.], 2002, 84-A (Suppl 2), 1–20
  • [46] Puhl W., Kessler S., Which factors influence the long term outcome of total hip replacement, In: Rieker C., Oreholzer S., Wyss U. (Eds.), World tribology forum in arthroplasty, Huber, Bern, 2001, 35–45
  • [47] Steno B., Murarik S., Lisy M., Demitrovic M., Dislocation cemented total hip arthroplasty: risk and therapy, Acta Chir. Orthop. Traumatol. Cech., 2000, 67, 33–35, (in Slovak)
  • [48] Malchau H., Herberts P., Garellick G., Söderman P., Eisler T., Prognosis of total hip replacement: update of results and risk-ratio analysis for revision and re-revision from the Swedish National Hip Arthroplasty Register 1979–2000, Swedish National Hip Arthroplasty Register, Göteborg, 2002
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0005-2
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