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European Journal of Orthopaedic Surgery & Traumatology
Published in: European Journal of Orthopaedic Surgery & Traumatology 7/2018

01-10-2018 | Original Article • HIP - ARTHROPLASTY

Cemented versus uncemented hemiarthroplasty of the hip in patients with a femoral neck fracture: a comparison of two modern stem design implants

Authors: M. R. M. Frenken, M. G. M. Schotanus, E. H. van Haaren, R. Hendrickx

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 7/2018

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Abstract

Purpose

We wished to compare the outcome of two types of cemented and uncemented modern stem design implants after hemiarthroplasty, with both an Orthopaedic Data Evaluation Panel rating of 10A.

Methods

This retrospective study compares data obtained from two centres, with a total study population of 655 (n = 393 cemented, n = 262 uncemented). Patients were matched at baseline for gender, age, surgery side, American Society of Anesthesiologists score, body mass index and pre-operative haemoglobin level. Outcome measurements were prosthesis-related complications, pre- and post-operative, with reoperation rate and mortality and other complications after 1 year, surgery time, blood loss and immobility at discharge.

Results

There were no significant differences in mortality after 1 year, total other complications, immobility at the time of discharge and total prosthesis-related complications between both groups. Significantly more periprosthetic fractures and post-operative infections were seen in the uncemented group with significantly more reoperations compared to the cemented group. Significant differences were seen in cardiovascular complications, blood loss and surgery time in favour of the uncemented group.

Conclusions

In consequence of the significant higher prosthesis-related complications (e.g. infections, periprosthetic fractures and reoperations) in the uncemented group in this study, we recommend cemented hemiarthroplasty in patients with a femoral neck fracture.

Level of evidence

Level III, Case Controlled Study.
Footnotes
1
ODEP: rates an orthopaedic implant product's compliance with the 10-year benchmarks set by National Institute for Health and Care Excellence (NICE).  ODEP listings show all products submitted to ODEP by industry in relation to benchmarks set by NICE. ODEP 10 A rating: A minimum cohort of 500 hips at the start of the study (consisting of data from beyond the developing centre and from more than 3 centres/surgeons) with a minimum of 10-year follow-up and an actual revision rate of less than 5%. All deaths, loss to follow-up, failures and indications for revisions recorded. A maximum of 20% loss to follow-up is permitted.
 
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Metadata
Title
Cemented versus uncemented hemiarthroplasty of the hip in patients with a femoral neck fracture: a comparison of two modern stem design implants
Authors
M. R. M. Frenken
M. G. M. Schotanus
E. H. van Haaren
R. Hendrickx
Publication date
01-10-2018
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 7/2018
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-018-2202-2

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