The Cemented Unipolar Prosthesis for the Management of Displaced Femoral Neck Fractures in the Dependent Osteopenic Elderly
作者: Matthew G. GrossoJonathan R. DanoffDouglas E. PadgettRichard IorioWilliam B. Macaulay
作者单位: 1Center for Hip & Knee Replacement, Department of Orthopaedic Surgery, New York Presbyterian Hospital/Columbia University Medical Center, New York, New York
2Hospital for Special Surgery, New York, New York
3New York University Hospital for Joint Diseases, New York, New York
刊名: The Journal of Arthroplasty, 2016, Vol.31 (5), pp.1040-1046
来源数据库: Elsevier Journal
DOI: 10.1016/j.arth.2015.11.029
关键词: femoral neck fracturehemiarthroplastytotal hip arthroplastycemented femoral stemunipolar
英文摘要: Abstract(#br)Background(#br)Significant variability exists across orthopedic surgeons in the management of the displaced femoral neck fracture in the elderly patient (>75 years old). These patients tend to be less healthy, have inferior bone quality, and gait instability leading to increased risk of periprosthetic fracture, compromised implant fixation, dislocation, and need for revision. The surgeon’s goals should be to restore mobility while eliminating pain and need for reoperation.(#br)Methods(#br)In this review article, we examine the best available evidence in the literature to determine which strategy achieves optimal outcomes. We examine outcome studies comparing use of hemiarthroplasty and total hip arthroplasty, unipolar and bipolar hemiarthroplasty, and cemented vs cementless...
全文获取路径: Elsevier  (合作)
影响因子:2.11 (2012)