The effects of the choice of the femoral head in hip hemiarthroplasty on radiological and clinical outcomes
Abstract
Background: A displaced femoral neck fracture in patients over 70 years of age is a severe injury that affects the patient’s quality of life. It is associated with increased morbidity and increased risk of mortality.
Methods: The cases were divided into a monopolar group (n=167) and a bipolar group (n=175). Data on age, gender, ASA scores, length of stay, and other diseases were obtained from the patients’ files. Dislocation, infection and periprosthetic fracture rates were examined by examining the outpatient records of the patients in the postoperative period.
Results: The mean age of all patients included in the study was 79.7±8.16 years. 62.3% (n=213) of the patients were female and 37.7% (n=129) were male. There was no significant difference between the patients in the monopolar group and the bipolar group regarding complications (p=0.743). The 30-day mortality rates of the patients in the monopolar group were significantly higher than those in the bipolar group (p=0.041).
Conclusions: The use of the bipolar head in the surgical treatment of geriatric displaced femoral neck fractures with hemiarthroplasty may not provide any advantage in terms of functionality or complications.
Keywords
Femoral Neck Fracture , Geriatric , Hemiarthroplasty , Monopolar , Bipolar.
References
- 1. Guyen O. Hemiarthroplasty or total hip arthroplasty in recent femoral neck fractures? Orthop Traumatol Surg Res. 2019;105(1S): 95-101.
- 2. Tanoğlu O, Arıcan G, Özmeriç A, Sahin O, Iltar S, Alemdaroğlu BK. Predictors of early mortality in geriatric patients after hemiarthroplasty for femoral neck fracture. Acta Med Alanya. 2020;4(3):220-225.
- 3. Kristensen TB, Dybvik E, Kristoffersen M, Dale H, Engesæter LB, Furnes O, et al. Cemented or Uncemented Hemiarthroplasty for Femoral Neck Fracture? Data from the Norwegian Hip Fracture Register. Clin Orthop Relat Res. 2020;478(1):90-100.
- 4. Vatansever A, Öziç U, Okçu G. Assessment of quality of life of patients after hemiarthroplasty for proximal femoral fractures. Acta Orthop Traumatol Turc 2005;39(3):237-242.
- 5. Kaya Ş, Özdemir H, Dabak AY. İleri yaş hastalarda çimentolu ve çimentosuz hemiartroplasti sonuçlarının karşılaştırılması. Dicle Medical Journal. 2017;44(3):233-241.
- 6. McKinley JC, Robinson CM. Treatment of displaced intracapsular hip fractures with total hip arthroplasty: comparison of primary arthroplasty with early salvage arthroplasty after failed internal fixation. J Bone Joint Surg Am. 2002;84(11):2010-5.
- 7. Ogawa T, Yoshii T, Moriwaki M, Morishita S, Oh Y, Miyatake K, et al. Association between Hemiarthroplasty vs Total Hip Arthroplasty and Major Surgical Complications among Patients with Femoral Neck Fracture. J Clin Med. 2020;9(10):3203.
- 8. Wu X, Wang Y, Sun W, Tan M. Cemented and uncemented hemiarthroplasty for femoral neck fracture in elderly patients: a systematic review and meta-analysis. Aging Clin Exp Res. 2021;33(8):2087-111.
- 9. Grosso MJ, Danoff JR, Murtaugh TS, Trofa DP, Sawires AN, Macaulay WB. Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly Has a Low Conversion Rate. J Arthroplasty. 2017;32(1):150-4.
- 10. Aksu N, Işıklar ZU. Kalça kırıkları. TOTBİD Dergisi. 2008;7(1-2):8-19.