Cemented hemiarthroplasty for femoral neck fractures in elderly patients

VernacularTitle:骨水泥型半髋置换治疗老年股骨颈骨折
Author: Zhigang LI ; Dewei ZHAO ; Lin GUO ; Chongjun XIA
Publication Type:Journal Article
From: Chinese Journal of Tissue Engineering Research 2012;16(26):4796-4800
CountryChina
Language:Chinese
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.