Comparison of Cemented and Cementless Hemiarthroplasty in the Treatent of Proximal Femoral Fractures

Abstract

Objectives: In this study, we aimed to compare effects of cementless and cemented calcar-replacement hemiarthroplasty used in the treatment of proximal femoral fractures in elderly patients, on mortality. Materials and Methods: A total of 167 patients with proximal femoral fractures between 2012 and 2015 were included in the study. Cemented hemiarthroplasty was performed in 64 (38.3%) (group1) and cementless hemiarthroplasty in 103 (61.7%) (group 2) patients. The patients were evaluated at postoperative week 3, then at 3rd, 5th and 12th months, and subsequently at yearly follow-ups. Results: During follow-ups, 26 patients in group 1, and 31 patients in group 2 died. The most common local complication was superficial infection. Conclusion: There was no significant difference in mortality during postoperative follow-up between the patients treated with cementless hemiarthroplasty and those treated with cemented hemiarthroplasty for proximal femoral fractures seen in elderly patients. Key Words: Cementles hemiarthroplasty, Advanced age, Intertrochanteric femoral fracture, Mortality

Keywords

• Cementles hemiarthroplasty
• Advanced age
• Intertrochanteric femoral fracture
• Mortality

Proksimal Femur Kırıklarının Tedavisinde, Çimentosuz ve Çimentolu Hemiartroplastinin Mortalite Üzerine Etkilerinin Karşılaştırılması

Abstract

Amaç: Bu çalışmada, yaşlı hastalarda görülen proksimal femur kırıklarının tedavisinde, çimentosuz ve çimentolu kalkar replasmanlı hemiartroplastinin, mortalite üzerine etkisinin karşılaştırılması amaçlandı. Gereç ve Yöntem: 2012-2015 yılları arası, proksimal femur kırığına sahip 167 hasta çalışmaya dahil edildi. Hastaların 64’üne (38,3%) çimentolu hemiartroplasti (grup 1), 103’üne (61,7%) çimentosuz artroplasti (grup 2) uygulandı. Hastalar postoperatif 3. haftada ve sonrasında 3., 6. ve 12. aylarda ve sonrasında yıllık kontrollerde değerlendirildi. Bulgular: Tüm takipleri boyunca grup 1 de 26, grup 2 de 31 hasta eks oldu. En sık görülen lokal komplikasyon, yüzeyel enfeksiyondu. Sonuç: Yaşlı hastalarda görülen proksimal femur kırıklarının tedavisinde, çimentosuz ve çimentolu kalkar replasmanlı hemiartroplasti cerrahisi sonrası takiplerinde iki grup arasında anlamlı derecede mortalite farkı bulunmamaktadır. Anahtar Kelimeler: Çimentosuz Hemiartroplasti, İleri Yaş, İntertrokanterik Femur Kırığı, Mortalite

Keywords

• Çimentosuz Hemiartroplasti
• İleri Yaş
• İntertrokanterik Femur Kırığı
• Mortalite

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