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Archives of Orthopaedic and Trauma Surgery

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01-08-2006 | Original Article

Cementless hemiarthroplasty in femoral neck fractures: evaluation of clinical results and measurement of migration by EBRA-FCA

Authors: T. Klestil, R. Biedermann, A. Krüger, P. Gföller, W. Schmoelz, C. Rangger, M. Krismer, M. Blauth

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2006

Abstract

Aim of the present study was to evaluate migration rates of cementless primary hemiarthroplasty in acute femoral neck fractures. In a longitudinal, prospective study 46 patients were treated by cementless hemiarthroplasty. Clinical follow up was correlated with the EBRA-FCA method. In 30% of all patients stem migration amounted to more than 2 mm; further, these patients were seen to have a high level of activity. A high degree of migration in more than 30% of all patients requires critical scepticism toward further use of the investigated cementless stem as hemiarthroplasty. According to literature, migration of more than 2 mm suggests a high probability of early aseptic loosening. In patients with a low degree of activity good results could be observed; nevertheless, in patients with a high level of activity the combination of the investigated cementless stem with a solid fracture head cannot be recommended.

Beck A, Ruter A (1998) Femoral neck fractures—diagnosis and therapeutic procedure. Unfallchirurg 101(8):634–648PubMedCrossRef

Biedermann R, Krismer M, Stockl B, Mayrhofer P, Ornstein E, Franzen H (1999) Accuracy of EBRA-FCA in the measurement of migration of femoral components of total hip replacement. Einzel–Bild–Rontgen-Analyse-femoral component analysis. J Bone Joint Surg Br 81(2):266–272CrossRefPubMed

Biedermann R, Stockl B, Krismer M, Mayrhofer P, Ornstein E, Franzen H (2001) Evaluation of accuracy and precision of bone markers for the measurement of migration of hip prostheses. A comparison of conventional measurements. J Bone Joint Surg Br 83(5):767–771PubMedCrossRef

Christie J, Burnett R, Potts HR, Pell AC (1994) Echocardiography of transatrial embolism during cemented and uncemented hemiarthroplasty of the hip. J Bone Joint Surg Br 76(3):409–412PubMed

Christie J, Robinson CM, Singer B, Ray DC (1995) Medullary lavage reduces embolic phenomena and cardiopulmonary changes during cemented hemiarthroplasty. J Bone Joint Surg Br 77(3):456–459PubMed

Clark DI, Ahmed AB, Baxendale BR, Moran CG (2001) Cardiac output during hemiarthroplasty of the hip. A prospective, controlled trial of cemented and uncemented prostheses. J Bone Joint Surg Br 83(3):414–418CrossRefPubMed

Dalldorf PG, Banas MP, Hicks DG, Pellegrini VD Jr (1995) Rate of degeneration of human acetabular cartilage after hemiarthroplasty. J Bone Joint Surg Am 77(6):877–882PubMed

Delaunay C, Cazeau C, Kapandji AI (1998) Cementless primary total hip replacement. Four to eight year results with the Zweymuller–Alloclassic prosthesis. Int Orthop 22(1):1–5CrossRefPubMed

Eingartner C, Heigele T, Dieter J, Winter E, Weise K (2003) Long-term results with the BiCONTACT system—aspects to investigate and to learn from. Int Orthop 27(Suppl 1):S11–S15PubMed

10.

Eiskjaer S, Ostgard SE (1993) Survivorship analysis of hemiarthroplasties. Clin Orthop (286):206–211

11.

Eyssel M, Schwenk W, Badke A, Krebs S, Stock W (1994) [Total endoprosthesis or dual head prosthesis in endoprosthetic management of femoral neck fractures?]. Unfallchirurg 97(7):347–352PubMed

12.

Freeman MA, Plante-Bordeneuve P (1994) Early migration and late aseptic failure of proximal femoral prostheses. J Bone Joint Surg Br 76(3):432–438PubMed

13.

Gerber C, Strehle J, Ganz R (1993) The treatment of fractures of the femoral neck. Clin Orthop (292):77–86

14.

Hamadouche M, Witvoet J, Porcher R, Meunier A, Sedel L, Nizard R (2001) Hydroxyapatite-coated versus grit-blasted femoral stems. a prospective, randomised study using EBRA-FCA. J Bone Joint Surg Br 83(7):979–987CrossRefPubMed

15.

Heisel C, Clarius M, Schneider U, Breusch SJ (2001) [Thromboembolic complications related to the use of bone cement in hip arthroplasty—pathogenesis and prophylaxis]. Z Orthop Ihre Grenzgeb 139(3):221–228CrossRefPubMed

16.

Holt EM, Evans RA, Hindley CJ, Metcalfe JW (1994) 1000 femoral neck fractures: the effect of pre-injury mobility and surgical experience on outcome. Injury 25(2):91–95CrossRefPubMed

17.

Hudson JI, Kenzora JE, Hebel JR, Gardner JF, Scherlis L, Epstein RS, et al (1998) Eight-year outcome associated with clinical options in the management of femoral neck fractures. Clin Orthop (348):59–66

18.

Iorio R, Healy WL, Lemos DW, Appleby D, Lucchesi CA, Saleh KJ (2001) Displaced femoral neck fractures in the elderly: outcomes and cost effectiveness. Clin Orthop (383):229–242

19.

Jalovaara P, Virkkunen H (1991) Quality of life after primary hemiarthroplasty for femoral neck fracture. 6-year follow-up of 185 patients. Acta Orthop Scand 62(3):208–217PubMed

20.

Johansson T, Jacobsson SA, Ivarsson I, Knutsson A, Wahlstrom O (2000) Internal fixation versus total hip arthroplasty in the treatment of displaced femoral neck fractures: a prospective randomized study of 100 hips. Acta Orthop Scand 71(6):597–602CrossRefPubMed

21.

Johnston RC, Fitzgerald RH Jr, Harris WH, Poss R, Muller ME, Sledge CB (1990) Clinical and radiographic evaluation of total hip replacement. A standard system of terminology for reporting results. J Bone Joint Surg Am 72(2):161–168PubMed

22.

Karrholm J (1989) Roentgen stereophotogrammetry. Review of orthopedic applications. Acta Orthop Scand 60(4):491–503PubMed

23.

Karrholm J, Borssen B, Lowenhielm G, Snorrason F (1994) Does early micromotion of femoral stem prostheses matter? 4–7-year stereoradiographic follow-up of 84 cemented prostheses. J Bone Joint Surg Br 76(6):912–917PubMed

24.

Kenzora JE, Magaziner J, Hudson J, Hebel JR, Young Y, Hawkes W, et al (1998) Outcome after hemiarthroplasty for femoral neck fractures in the elderly. Clin Orthop (348):51–58

25.

Krismer M, Tschupik JP, Bauer R, Mayrhofer P, Stockl B, Fischer M, et al (1997) [Single-image roentgen analysis for the measurement of hip endoprosthesis migration]. Orthopade 26(3):229–236PubMed

26.

Krismer M, Biedermann R, Stockl B, Fischer M, Bauer R, Haid C (1999) The prediction of failure of the stem in THR by measurement of early migration using EBRA-FCA. Einzel–Bild–Roentgen-Analyse-femoral component analysis. J Bone Joint Surg Br 81(2):273–280CrossRefPubMed

27.

Lee BP, Berry DJ, Harmsen WS, Sim FH (1998) Total hip arthroplasty for the treatment of an acute fracture of the femoral neck: long-term results. J Bone Joint Surg Am 80(1):70–75CrossRefPubMed

28.

Lennox IA, McLauchlan J (1993) Comparing the mortality and morbidity of cemented and uncemented hemiarthroplasties. Injury 24(3):185–186CrossRefPubMed

29.

Livesley PJ, Srivastiva VM, Needoff M, Prince HG, Moulton AM (1993) Use of a hydroxyapatite-coated hemiarthroplasty in the management of subcapital fractures of the femur. Injury 24(4):236–240CrossRefPubMed

30.

Lu-Yao GL, Keller RB, Littenberg B, Wennberg JE (1994) Outcomes after displaced fractures of the femoral neck. A meta-analysis of one hundred and six published reports. J Bone Joint Surg Am 76(1):15–25PubMed

31.

Mjoberg B, Selvik G, Hansson LI, Rosenqvist R, Onnerfalt R (1986) Mechanical loosening of total hip prostheses. A radiographic and roentgen stereophotogrammetric study. J Bone Joint Surg Br 68(5):770–774PubMed

32.

Mollers M, Stedtfeld HW, Paechtner S, Wald A (1992) [Hemi-arthroplasty of the hip joint: concentric or positive eccentric (self-centering) dual head prosthesis? A retrospective comparison]. Unfallchirurg 95(5):224–229PubMed

33.

Overgaard S, Jensen TT, Bonde G, Mossing NB (1991) The uncemented bipolar hemiarthroplasty for displaced femoral neck fractures. 6-year follow-up of 171 cases. Acta Orthop Scand 62(2):115–120PubMedCrossRef

34.

Parker MJ, Pryor GA (2000) Internal fixation or arthroplasty for displaced cervical hip fractures in the elderly: a randomised controlled trial of 208 patients. Acta Orthop Scand 71(5):440–446CrossRefPubMed

35.

Parvizi J, Holiday AD, Ereth MH, Lewallen DG (1999) The Frank Stinchfield Award. Sudden death during primary hip arthroplasty. Clin Orthop (369):39–48

36.

Ravikumar KJ, Marsh G (2000) Internal fixation versus hemiarthroplasty versus total hip arthroplasty for displaced subcapital fractures of femur—13 year results of a prospective randomised study. Injury 31(10):793–797CrossRefPubMed

37.

Rogmark C, Carlsson A, Johnell O, Sernbo I (2002) A prospective randomised trial of internal fixation versus arthroplasty for displaced fractures of the neck of the femur. Functional outcome for 450 patients at two years. J Bone Joint Surg Br 84(2):183–188CrossRefPubMed

38.

Skinner P, Riley D, Ellery J, Beaumont A, Coumine R, Shafighian B (1989) Displaced subcapital fractures of the femur: a prospective randomized comparison of internal fixation, hemiarthroplasty and total hip replacement. Injury 20(5):291–293CrossRefPubMed

39.

Walker PS, Mai SF, Cobb AG, Bentley G, Hua J (1995) Prediction of clinical outcome of THR from migration measurements on standard radiographs. A study of cemented Charnley and Stanmore femoral stems. J Bone Joint Surg Br 77(5):705–714

Title: Cementless hemiarthroplasty in femoral neck fractures: evaluation of clinical results and measurement of migration by EBRA-FCA
Authors: T. Klestil
R. Biedermann
A. Krüger
P. Gföller
W. Schmoelz
C. Rangger
M. Krismer
M. Blauth
Publication date: 01-08-2006
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2006
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-006-0133-6

2024 ASCO Annual Meeting

Springer Medicine

Cementless hemiarthroplasty in femoral neck fractures: evaluation of clinical results and measurement of migration by EBRA-FCA

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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