Abstract：
PURPOSE:Total hip arthroplasty with a dual mobility cup (DMC) is a proposed alternative to the widely performed bipolar hemiarthroplasty (BHA) for treating displaced intracapsular femoral neck fractures (DFNF) in the elderly. However, the comparison between the two modalities has not been extensively conducted thus far. METHODS:A retrospective cohort study was conducted with DFNF patients aged over 65 years who were treated either by BHA or DMC. After propensity matching each group comprised 84 patients (168 patients in total) and was analyzed using peri-operative and post-operative parameters. RESULTS:Mean follow-up durations were 22.1 and 21.7 months in the BHA and DMC groups, respectively. The BHA group demonstrated significantly less intra-operative blood loss (p = 0.001) and a shorter length of operation (p < 0.001). However, there was no difference in one-year mortality (p = 0.773). The Harris hip score (HHS) was significantly higher (p = 0.018) in the DMC group. The dislocation rate was not different between the two groups (p = 1.000). CONCLUSION:In DFNF patients aged over 65 years, short-term observation showed DMC to be the preferred treatment over BHA with better clinical outcome, without disadvantages in mortality or dislocation rate. Further long-term investigations are recommended to strengthen these results.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Kim YT,Yoo JH,Kim MK,Kim S,Hwang Jdoi
10.1007/s00264-018-3767-4subject
Has Abstractpub_date
2018-06-01 00:00:00pages
1241-1246issue
6eissn
0341-2695issn
1432-5195pii
10.1007/s00264-018-3767-4journal_volume
42pub_type
杂志文章abstract：PURPOSE:Quality-of-life (QOL) assessments in patients with osteonecrosis of the femoral head (ONFH) have rarely been reported. This multicentre study aimed to elucidate the relationship between disease severity, including necrotic lesion type and radiological staging, and QOL, as well as between patients' characteristi...
journal_title：International orthopaedics
pub_type： 杂志文章,多中心研究
doi：10.1007/s00264-018-3897-8
更新日期：2018-07-01 00:00:00
abstract：PURPOSE:The aim of this study was to compare total knee arthroplasty (TKA) procedures between different countries with regard to epidemiological data and surgical technique by reference to the worldwide arthroplasty registers. METHODS:A systematic search was carried out using the EFORT website to identify the relevant...
journal_title：International orthopaedics
pub_type： 杂志文章
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journal_title：International orthopaedics
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doi：10.1007/s00264-006-0234-4
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00187085
更新日期：1994-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0728-y
更新日期：2010-02-01 00:00:00
abstract：:During a 4-year period, 32 patients with type C unstable sacral fractures were treated in our university hospital. All patients had neurological deficits as a result of their sacral fracture. The average age was 31.2 (range 22-54) years and the average Hannover Polytrauma Score (PTS) was 24 (range 19-40) points. Twelv...
journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2009-02-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2021-01-30 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2009-12-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
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journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2013-02-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：1998-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2014-11-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2013-01-01 00:00:00
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journal_title：International orthopaedics
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更新日期：2014-05-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2019-11-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
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pub_type： 杂志文章
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pub_type： 杂志文章
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更新日期：2016-02-01 00:00:00
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更新日期：2014-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-02-01 00:00:00
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journal_title：International orthopaedics
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journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2002-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2017-11-01 00:00:00
