Cemented versus uncemented hemiarthroplasty for intracapsular hip fractures: A RANDOMISED CONTROLLED TRIAL IN 400 PATIENTS
We undertook a prospective randomised controlled trial involving 400 patients with a displaced intracapsular fracture of the hip to determine whether there was any difference in outcome between treatment with a cemented Thompson hemiarthroplasty and an uncemented Austin-Moore prosthesis. The survivi...
Gespeichert in:
| Veröffentlicht in: | Journal of bone and joint surgery. British volume 2010, Vol.92 (1), p.116-122 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 122 |
|---|---|
| container_issue | 1 |
| container_start_page | 116 |
| container_title | Journal of bone and joint surgery. British volume |
| container_volume | 92 |
| creator | PARKER, M. I PRYOR, G GURUSAMY, K |
| description | We undertook a prospective randomised controlled trial involving 400 patients with a displaced intracapsular fracture of the hip to determine whether there was any difference in outcome between treatment with a cemented Thompson hemiarthroplasty and an uncemented Austin-Moore prosthesis. The surviving patients were followed up for between two and five years by a nurse blinded to the type of prosthesis used. The mean age of the patients was 83 years (61 to 104) and 308 (77%) were women. The degree of residual pain was less in those treated with a cemented prosthesis (p < 0.0001) three months after surgery. Regaining mobility was better in those treated with a cemented implant (p = 0.005) at six months after operation. No statistically significant difference was found between the two groups with regard to mortality, implant-related complications, re-operations or post-operative medical complications. The use of a cemented Thompson hemiarthroplasty resulted in less pain and less deterioration in mobility than an uncemented Austin-Moore prosthesis with no increase in complications. |
| doi_str_mv | 10.1302/0301-620X.92B1.22753 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_734218675</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>734218675</sourcerecordid><originalsourceid>FETCH-LOGICAL-c285t-347cfe5d9a6cf6bc0d908d80136b435a5a6791632b97e47b734ab6f5f9ce0bcb3</originalsourceid><addsrcrecordid>eNpFkEtr20AURofS0jhu_0EpsylZybnzlNSd6jiJQLWLo0J3w2g0wip6dUYKJL8-cuKkq_vgfPfCQegLgRVhQC-BAQkkhT-rmP4gK0pDwd6hBQXOA8HC8D1avCFn6Nz7vwDAhWAf0RmdOy6jeIEe17a13WhLfG-dnzyeOvO6Odi21m48uH5otB8fcNU7XHej00YPfmq0w4d6wNU8j5Oz_jtO8D7ZXu1-pnebK7zebfP9LsvmNt-nSYbTLeYA-FeSp5ttfvcJfah04-3nU12i39ebfH0bZLubdJ1kgaGRGAPGQ1NZUcZamkoWBsoYojICwmTBmdBCyzAmktEiDi0Pi5BxXchKVLGxUJiCLdHFy93B9f8m60fV1t7YptGd7Sev5gAlkZz1LRF_IY3rvXe2UoOrW-0eFAF1lK6ORtXRqDpKV8_S59jX04OpaG35Fnq1PAPfToD2RjezsM7U_j9HmSBMAHsC_ZKIJg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>734218675</pqid></control><display><type>article</type><title>Cemented versus uncemented hemiarthroplasty for intracapsular hip fractures: A RANDOMISED CONTROLLED TRIAL IN 400 PATIENTS</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>PARKER, M. I ; PRYOR, G ; GURUSAMY, K</creator><creatorcontrib>PARKER, M. I ; PRYOR, G ; GURUSAMY, K</creatorcontrib><description>We undertook a prospective randomised controlled trial involving 400 patients with a displaced intracapsular fracture of the hip to determine whether there was any difference in outcome between treatment with a cemented Thompson hemiarthroplasty and an uncemented Austin-Moore prosthesis. The surviving patients were followed up for between two and five years by a nurse blinded to the type of prosthesis used. The mean age of the patients was 83 years (61 to 104) and 308 (77%) were women. The degree of residual pain was less in those treated with a cemented prosthesis (p < 0.0001) three months after surgery. Regaining mobility was better in those treated with a cemented implant (p = 0.005) at six months after operation. No statistically significant difference was found between the two groups with regard to mortality, implant-related complications, re-operations or post-operative medical complications. The use of a cemented Thompson hemiarthroplasty resulted in less pain and less deterioration in mobility than an uncemented Austin-Moore prosthesis with no increase in complications.</description><identifier>ISSN: 0301-620X</identifier><identifier>EISSN: 2044-5377</identifier><identifier>DOI: 10.1302/0301-620X.92B1.22753</identifier><identifier>PMID: 20044689</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - methods ; Arthroplasty, Replacement, Hip - mortality ; Biological and medical sciences ; Cementation - methods ; Diseases of the osteoarticular system ; Female ; Follow-Up Studies ; Hip Fractures - surgery ; Hip Prosthesis ; Humans ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Patient Satisfaction ; Postoperative Complications - etiology ; Prospective Studies ; Prosthesis Design ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome</subject><ispartof>Journal of bone and joint surgery. British volume, 2010, Vol.92 (1), p.116-122</ispartof><rights>2015 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c285t-347cfe5d9a6cf6bc0d908d80136b435a5a6791632b97e47b734ab6f5f9ce0bcb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4021,27921,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22351350$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20044689$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PARKER, M. I</creatorcontrib><creatorcontrib>PRYOR, G</creatorcontrib><creatorcontrib>GURUSAMY, K</creatorcontrib><title>Cemented versus uncemented hemiarthroplasty for intracapsular hip fractures: A RANDOMISED CONTROLLED TRIAL IN 400 PATIENTS</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>We undertook a prospective randomised controlled trial involving 400 patients with a displaced intracapsular fracture of the hip to determine whether there was any difference in outcome between treatment with a cemented Thompson hemiarthroplasty and an uncemented Austin-Moore prosthesis. The surviving patients were followed up for between two and five years by a nurse blinded to the type of prosthesis used. The mean age of the patients was 83 years (61 to 104) and 308 (77%) were women. The degree of residual pain was less in those treated with a cemented prosthesis (p < 0.0001) three months after surgery. Regaining mobility was better in those treated with a cemented implant (p = 0.005) at six months after operation. No statistically significant difference was found between the two groups with regard to mortality, implant-related complications, re-operations or post-operative medical complications. The use of a cemented Thompson hemiarthroplasty resulted in less pain and less deterioration in mobility than an uncemented Austin-Moore prosthesis with no increase in complications.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Arthroplasty, Replacement, Hip - mortality</subject><subject>Biological and medical sciences</subject><subject>Cementation - methods</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip Fractures - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Patient Satisfaction</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective Studies</subject><subject>Prosthesis Design</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0301-620X</issn><issn>2044-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEtr20AURofS0jhu_0EpsylZybnzlNSd6jiJQLWLo0J3w2g0wip6dUYKJL8-cuKkq_vgfPfCQegLgRVhQC-BAQkkhT-rmP4gK0pDwd6hBQXOA8HC8D1avCFn6Nz7vwDAhWAf0RmdOy6jeIEe17a13WhLfG-dnzyeOvO6Odi21m48uH5otB8fcNU7XHej00YPfmq0w4d6wNU8j5Oz_jtO8D7ZXu1-pnebK7zebfP9LsvmNt-nSYbTLeYA-FeSp5ttfvcJfah04-3nU12i39ebfH0bZLubdJ1kgaGRGAPGQ1NZUcZamkoWBsoYojICwmTBmdBCyzAmktEiDi0Pi5BxXchKVLGxUJiCLdHFy93B9f8m60fV1t7YptGd7Sev5gAlkZz1LRF_IY3rvXe2UoOrW-0eFAF1lK6ORtXRqDpKV8_S59jX04OpaG35Fnq1PAPfToD2RjezsM7U_j9HmSBMAHsC_ZKIJg</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>PARKER, M. I</creator><creator>PRYOR, G</creator><creator>GURUSAMY, K</creator><general>British Editorial Society of Bone and Joint Surgery</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2010</creationdate><title>Cemented versus uncemented hemiarthroplasty for intracapsular hip fractures: A RANDOMISED CONTROLLED TRIAL IN 400 PATIENTS</title><author>PARKER, M. I ; PRYOR, G ; GURUSAMY, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c285t-347cfe5d9a6cf6bc0d908d80136b435a5a6791632b97e47b734ab6f5f9ce0bcb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Arthroplasty, Replacement, Hip - mortality</topic><topic>Biological and medical sciences</topic><topic>Cementation - methods</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hip Fractures - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Patient Satisfaction</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective Studies</topic><topic>Prosthesis Design</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>PARKER, M. I</creatorcontrib><creatorcontrib>PRYOR, G</creatorcontrib><creatorcontrib>GURUSAMY, K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PARKER, M. I</au><au>PRYOR, G</au><au>GURUSAMY, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cemented versus uncemented hemiarthroplasty for intracapsular hip fractures: A RANDOMISED CONTROLLED TRIAL IN 400 PATIENTS</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>2010</date><risdate>2010</risdate><volume>92</volume><issue>1</issue><spage>116</spage><epage>122</epage><pages>116-122</pages><issn>0301-620X</issn><eissn>2044-5377</eissn><coden>JBSUAK</coden><abstract>We undertook a prospective randomised controlled trial involving 400 patients with a displaced intracapsular fracture of the hip to determine whether there was any difference in outcome between treatment with a cemented Thompson hemiarthroplasty and an uncemented Austin-Moore prosthesis. The surviving patients were followed up for between two and five years by a nurse blinded to the type of prosthesis used. The mean age of the patients was 83 years (61 to 104) and 308 (77%) were women. The degree of residual pain was less in those treated with a cemented prosthesis (p < 0.0001) three months after surgery. Regaining mobility was better in those treated with a cemented implant (p = 0.005) at six months after operation. No statistically significant difference was found between the two groups with regard to mortality, implant-related complications, re-operations or post-operative medical complications. The use of a cemented Thompson hemiarthroplasty resulted in less pain and less deterioration in mobility than an uncemented Austin-Moore prosthesis with no increase in complications.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>20044689</pmid><doi>10.1302/0301-620X.92B1.22753</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0301-620X |
| ispartof | Journal of bone and joint surgery. British volume, 2010, Vol.92 (1), p.116-122 |
| issn | 0301-620X 2044-5377 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_734218675 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Hip - methods Arthroplasty, Replacement, Hip - mortality Biological and medical sciences Cementation - methods Diseases of the osteoarticular system Female Follow-Up Studies Hip Fractures - surgery Hip Prosthesis Humans Male Medical sciences Middle Aged Orthopedic surgery Patient Satisfaction Postoperative Complications - etiology Prospective Studies Prosthesis Design Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
| title | Cemented versus uncemented hemiarthroplasty for intracapsular hip fractures: A RANDOMISED CONTROLLED TRIAL IN 400 PATIENTS |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T02%3A22%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cemented%20versus%20uncemented%20hemiarthroplasty%20for%20intracapsular%20hip%20fractures:%20A%20RANDOMISED%20CONTROLLED%20TRIAL%20IN%20400%20PATIENTS&rft.jtitle=Journal%20of%20bone%20and%20joint%20surgery.%20British%20volume&rft.au=PARKER,%20M.%20I&rft.date=2010&rft.volume=92&rft.issue=1&rft.spage=116&rft.epage=122&rft.pages=116-122&rft.issn=0301-620X&rft.eissn=2044-5377&rft.coden=JBSUAK&rft_id=info:doi/10.1302/0301-620X.92B1.22753&rft_dat=%3Cproquest_cross%3E734218675%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=734218675&rft_id=info:pmid/20044689&rfr_iscdi=true |