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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 63 - 74 (12page)
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Purpose: This study was performed to analyze the potential impact of cement use and favorable pre-injury activity on clinical outcomes of bipolar hemiarthroplasty (BHA) compared with total hip arthroplasty (THA) in elderly patients with femoral neck fractures. Materials and Methods: Systematic review and meta-analysis of 12 clinical studies (5 randomized controlled trials and 7 comparative studies). Subgroup analysis was performed based on type of fixation method (cemented vs. cementless) and in the patient with independent ambulation, respectively. Results: A significantly higher dislocation rate was observed in patients treated with THA compared with those treated with BHA in individuals capable of independent ambulation before injury (odds ratio [OR], 0.17; 95% confidence interval [CI], 0.05-0.62; P=0.05, Z=1.98). Also, the dislocation rate was significantly higher in patients treated with cemented THA compared with those treated with cemented BHA (OR, 0.18; 95% CI, 0.05-0.62; P=0.006, Z=2.73). EQ-5D was significantly higher in those treated with cemented THA compared with patients treated with cemented BHA. Lastly, HHS was significantly higher in patients treated with cementless THA compared with those treated with cementless BHA. Conclusion: An increase in the dislocation rate was observed when THA was performed in elderly patients with femoral neck fracture and who were pre-injury independent walkers. In addition, cemented THA was associated with a higher dislocation rate compared with cemented BHA. However, the dislocation rate in those treated with cementless THA were similar to patients treated with cementless BHA. With regards to functional score, THA was superior to BHA in both cementless and cemented fixation.
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참고문헌 (36)
참고문헌 신청
Wang F / 2015 / Comparison of bipolar hemiarthroplasty and total hip arthroplasty for displaced femoral neck fractures in the healthy elderly : a meta-analysis / BMC Musculoskelet Disord 16:229
Støen RØ / 2014 / Randomized trial of hemiarthroplasty versus internal fixation for femoral neck fractures : no differences at 6 years / Clin Orthop Relat Res 472:360~367
Chammout GK / 2012 / Total hip replacement versus open reduction and internal fixation of displaced femoral neck fractures : a randomized long-term follow-up study / J Bone Joint Surg Am 94:1921~1928
Leonardsson O / 2012 / Higher risk of reoperation for bipolar and uncemented hemiarthroplasty / Acta Orthop 83:459~466
Keating JF / 2005 / Displaced intracapsular hip fractures in fit, older people:a randomised comparison of reduction and fixation, bipolar hemiarthroplasty and total hip arthroplasty / Health Technol Assess 9:1~65
Støen RØ / 2014 / Randomized trial of hemiarthroplasty versus internal fixation for femoral neck fractures : no differences at 6 years / Clin Orthop Relat Res 472:360~367
Chammout GK / 2012 / Total hip replacement versus open reduction and internal fixation of displaced femoral neck fractures : a randomized long-term follow-up study / J Bone Joint Surg Am 94:1921~1928
Leonardsson O / 2012 / Higher risk of reoperation for bipolar and uncemented hemiarthroplasty / Acta Orthop 83:459~466
Keating JF / 2005 / Displaced intracapsular hip fractures in fit, older people:a randomised comparison of reduction and fixation, bipolar hemiarthroplasty and total hip arthroplasty / Health Technol Assess 9:1~65
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