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Published in: Journal of Orthopaedic Surgery and Research 1/2021

Open Access 01-12-2021 | Periprosthetic Fracture | Research article

Cemented versus uncemented hemiarthroplasty for femoral neck fractures in patients with neuromuscular diseases: a minimum of 2 years’ follow-up study

Authors: Yuchuan Wang, Zhongzheng Wang, Siyu Tian, Zhanchao Tan, Yanbin Zhu, Wei Chen, Yingze Zhang

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2021

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Abstract

Background

The aim of this study was to compare the outcomes of cemented and uncemented hemiarthroplasty for femoral neck fractures in patients with neuromuscular disease.

Methods

We reviewed 156 patients with neuromuscular disease who underwent hemiarthroplasty between June 2015 and December 2019. Patients were divided into cemented group (n = 105) and uncemented group (n = 51), with a minimum follow-up of 2 years. Factors including preoperative features, duration of surgery, intraoperative blood loss, complications, pain, Harris hip scores (HHS), and quality of life were compared across groups, and Kaplan–Meier curves were used to estimate survival.

Results

In the uncemented group, the mean duration of surgery was 16.0 min. shorter (p = 0.001) and the mean intraoperative blood loss was 71.1 mL less (p = 0.01). Visual analog scales (VAS), HHS, and European Quality of Life-5 Dimensions (EQ-5D) scores were not different between the groups. Despite a few potential trends, we did not observe a difference in complications such as periprosthetic fractures and dislocations. The rates of mortality were similar between groups (p=0.821).

Conclusions

Both arthroplasties may be used with good medium-term results in the treatment of femoral neck fractures in patients with neuromuscular diseases.
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Metadata
Title
Cemented versus uncemented hemiarthroplasty for femoral neck fractures in patients with neuromuscular diseases: a minimum of 2 years’ follow-up study
Authors
Yuchuan Wang
Zhongzheng Wang
Siyu Tian
Zhanchao Tan
Yanbin Zhu
Wei Chen
Yingze Zhang
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2021
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-021-02572-6

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