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Randomized Controlled Trial
. 2017 Apr 21;18(1):169.
doi: 10.1186/s12891-017-1526-0.

More complications in uncemented compared to cemented hemiarthroplasty for displaced femoral neck fractures: a randomized controlled trial of 201 patients, with one year follow-up

Sophie Moerman  1 , Nina M C Mathijssen  2 , Dieu D Niesten  2 , Roeland Riedijk  3 , Willard J Rijnberg  4 , Sander Koëter  5 , Keetie Kremers van de Hei  5 , Wim E Tuinebreijer  6 , Tim L Molenaar  2 , Rob G H H Nelissen  7 , Anne J H Vochteloo  8
Affiliations
Randomized Controlled Trial

More complications in uncemented compared to cemented hemiarthroplasty for displaced femoral neck fractures: a randomized controlled trial of 201 patients, with one year follow-up

Sophie Moerman et al. BMC Musculoskelet Disord. .

Erratum in

Abstract

Background: It is unclear whether cemented or uncemented hemiarthroplasty is the best treatment option in elderly patients with displaced femoral neck fractures. Previous randomized trials comparing cemented and uncemented hemiarthroplasty have conflicting results. We conducted a randomized controlled trial to compare cemented and uncemented hemiarthroplasty.

Methods: This multicenter parallel-randomized controlled trial included patients of 70 years and older with a displaced femoral neck fracture (Garden type III or IV). Inclusion was between August 2008 and June 2012. Patients were randomized between a cemented hemiarthroplasty, type Müller Straight Stem or an uncemented hemiarthroplasty, type DB-10. Primary outcomes were complications, operation time, functional outcome (measured by Timed-Up-and-Go (TUG) and Groningen Activity Restriction Scale (GARS)) and mid-thigh pain. Health Related Quality of Life (HRQoL, expressed with the SF-12) was measured as an secondary outcome. Follow up was 1 year.

Results: In total 201 patients were included in the study (91 uncemented, 110 cemented hemiarthroplasties) The uncemented group showed more major local complications (intra- and postoperative fractures and dislocations) odds ratio (95% confidence interval) 3.36 (1.40 to 8.11). There was no difference in mean operation time (57.3 vs 55.4 min). There were no differences in functional outcomes (TUG 12.8 (9.4) vs. 13.9 (9.0), GARS 43.2 (19.7) vs. 39.2 (16.5)) and mid-thigh pain (18.6 vs 21.6%). Physical component SF-12 HRQoLwas lower in the uncemented group (30.3 vs. 35.3 p < 0.05 after six weeks, 33.8 vs 38.5 p < 0.05 after 12 weeks).

Conclusion: A cemented hemiarthroplasty in elderly patients with a displaced femoral neck fracture results in less complications compared to an uncemented hemiarthroplasty.

Trial registration: Netherlands Trial Registry; NTR 1508 , accepted date 27 okt 2008.

Keywords: Arthroplasty; Bone cement; Complication; Hip fracture.

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Figures

Fig. 1
Fig. 1
Flowchart of the recruitment and flow of patients with femoral neck fractures during the study
Fig. 2
Fig. 2
Health related quality of life, physical component score
See this image and copyright information in PMC

References

    1. Hernlund E, Svedbom A, Ivergård M, Compston J, Cooper C, Stenmark J, et al. Osteoporosis in the european union: medical management, epidemiology and economic burden: a report prepared in collaboration with the international osteoporosis foundation (IOF) and the european federation of pharmaceutical industry associations (EFPIA) Arch Osteoporos. 2013;8:136. doi: 10.1007/s11657-013-0136-1. - DOI - PMC - PubMed
    1. AAOS. Management of Hip Fractures in the Elderly Evidence- based clinical practice guidelines. AAOS. 2014. http://www.aaos.org/cc_files/aaosorg/research/guidelines/hipfxguideline.pdf. Accessed 11 Apr 2015.
    1. Parker MJ, Gurusamy KS, Azegami S. Arthroplasties (with and without bone cement) for proximal femoral fractures in adults. Cochrane Database Syst. Rev. 2010;6:CD001706. - PubMed
    1. Parker MI, Pryor G, Gurusamy K. Cemented versus uncemented hemiarthroplasty for intracapsular hip fractures: a randomised controlled trial in 400 patients. J Bone Joint Surg Br. 2010;92:116–22. doi: 10.1302/0301-620X.92B1.22753. - DOI - PubMed
    1. Donaldson AJ, Tomson HE, Harper NJ, Kenny NW. Bone cement implantation syndrome (BCIS) Br J Anaesth Bone. 2009;102:12–22. doi: 10.1093/bja/aen328. - DOI - PubMed

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