Outcome after hemiarthroplasty for femoral neck fractures in the elderly
A prospective outcome study was performed on 270 patients, 65 years of age and older, who sustained a femoral neck fracture and underwent hemiarthroplasty. The treatment compared was the use of a noncemented unipolar versus either a cemented or a press fit bipolar prosthesis. The outcome variables a...
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| Veröffentlicht in: | Clinical orthopaedics and related research 1998-03, Vol.348 (348), p.51-58 |
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| container_title | Clinical orthopaedics and related research |
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| creator | Kenzora, J E Magaziner, J Hudson, J Hebel, J R Young, Y Hawkes, W Felsenthal, G Zimmerman, S I Provenzano, G |
| description | A prospective outcome study was performed on 270 patients, 65 years of age and older, who sustained a femoral neck fracture and underwent hemiarthroplasty. The treatment compared was the use of a noncemented unipolar versus either a cemented or a press fit bipolar prosthesis. The outcome variables assessed included the occurrence of a postoperative complication, length and cost of hospitalization, and function in various quality of life measurements. Patients who underwent bipolar hemiarthroplasty with either a cemented or a press fit prosthesis had better pain relief and function than patients who had a noncemented unipolar prosthesis at a minimum of 24 months after surgery. However, the mean hospitalization cost for patients who had a bipolar prosthesis was $12,290 compared with $8876 for a unipolar prosthesis. |
| doi_str_mv | 10.1097/00003086-199803000-00010 |
| format | Article |
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The treatment compared was the use of a noncemented unipolar versus either a cemented or a press fit bipolar prosthesis. The outcome variables assessed included the occurrence of a postoperative complication, length and cost of hospitalization, and function in various quality of life measurements. Patients who underwent bipolar hemiarthroplasty with either a cemented or a press fit prosthesis had better pain relief and function than patients who had a noncemented unipolar prosthesis at a minimum of 24 months after surgery. 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The treatment compared was the use of a noncemented unipolar versus either a cemented or a press fit bipolar prosthesis. The outcome variables assessed included the occurrence of a postoperative complication, length and cost of hospitalization, and function in various quality of life measurements. Patients who underwent bipolar hemiarthroplasty with either a cemented or a press fit prosthesis had better pain relief and function than patients who had a noncemented unipolar prosthesis at a minimum of 24 months after surgery. 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| ispartof | Clinical orthopaedics and related research, 1998-03, Vol.348 (348), p.51-58 |
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| subjects | Activities of Daily Living Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - economics Arthroplasty, Replacement, Hip - methods Cementation Cognition - physiology Costs and Cost Analysis Female Femoral Neck Fractures - surgery Follow-Up Studies Hip Prosthesis - economics Hospitalization - economics Humans Length of Stay Male Pain - prevention & control Postoperative Complications Posture - physiology Prospective Studies Prosthesis Design Quality of Life Regression Analysis Social Adjustment Treatment Outcome Walking - physiology |
| title | Outcome after hemiarthroplasty for femoral neck fractures in the elderly |
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