6533b839fe1ef96bd12a6451
RESEARCH PRODUCT
Long-term results after operative treatment of femoral neck fractures with ceramic head prostheses.
L P MüllerJ. DegreifM RunkelG WillmannBlum Jsubject
Reoperationmedicine.medical_specialtyCeramicsProtrusio acetabulimedicine.medical_treatmentRadiographyArthroplasty Replacement HipPainProsthesis DesignProsthesisFemoral Neck FracturesTimeFemoral headActivities of Daily LivingmedicineHumansOrthopedics and Sports MedicineFemoral neckAgedPain MeasurementAged 80 and overbusiness.industryAcetabulummedicine.diseaseArthroplastySurgeryFemoral Neck FracturesRadiographymedicine.anatomical_structureOrthopedic surgerySurgeryHip ProsthesisbusinessFollow-Up Studiesdescription
ABSTRACT From 1 985-1 990, a total of 277 elderly patients underwent hemiarthroplasty using a ceramic head prosthesis. Average patient age was 81.7 years. Of these, 77 patients were available for follow-up examination in 1993. A standardized score was calculated assessing activity, gait, and hip pain; the average score was 58 out of 78 possible points. Three patients had hip pain, and in 4 patients, radiographic examination revealed protrusio acetabuli. Two of 4 patients underwent revision surgery for replacement of the cup, leaving the stem in situ. Because of the small number of prosthetic-related complications, hemiarthroplasty using a ceramic head prosthesis is the recommended surgical treatment for femoral neck fractures in elderly patients. In the rare patient with protrusio acetabuli, revision surgery can be performed to replace the cup, leaving the stem in situ.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2001-02-01 | Orthopedics |