Incidence and Risk Period of Periprosthetic Femoral Fracture After Cementless Bipolar Hemiarthroplasty in Elderly Patients

The Journal of Arthroplasty
Byung-Ho YoonKyung-Hoi Koo

Abstract

The purpose of this study was to investigate the periprosthetic femoral fracture (PFF) after cementless bipolar hemiarthroplasty incidence, noting fracture types and the results of treatment in elderly patients. We retrospectively reviewed 1563 elderly patients (1177 women and 386 men) who underwent cementless bipolar hemiarthroplasty for femoral neck fracture (1061 patients) or intertrochanteric fracture (502 patients). The type of fracture was classified according to the Vancouver classification. The average age was 79.6 years (range, 65-103 years). Clinical and radiologic evaluations were performed and Kaplan-Meier survivorship was analyzed. Thirty-seven PFFs (2.4%) occurred during a mean follow-up of 44.4 months. Two-thirds of PFFs (67%) occurred within 1 year. Most PFFs (22/27), which occurred within 2 years, were Vancouver type B fractures. After that, type A fractures were predominant (7/9). Based on Kaplan-Meier survivorship with PFF as the end point, the incidence rate was 1.7% (95% confidence interval [CI] = 1.6%-1.8%) at 12 months, 2.2% (95% CI = 2.1%-2.3%) at 36 months, and 3.8 % (95% CI = 3.6%-4.0%) at 144 months postoperatively. After cementless bipolar hemiarthroplasty in elderly patients, a caution should be pai...Continue Reading

References

Nov 1, 1992·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·C CooperL J Melton
Sep 20, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J MagazinerJ Kenzora
Aug 20, 2002·International Orthopaedics·R J K KhanG S Keene
Oct 8, 2003·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Cathleen Colón-EmericKenneth W Lyles
Jan 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Javad ParviziRichard H Rothman
Sep 5, 2007·The Journal of Bone and Joint Surgery. American Volume·M A ButtaroF Piccaluga
Feb 19, 2008·The Journal of Arthroplasty·Yi-Te ChenTain-Hsiung Chen
Jan 2, 2010·The Journal of Bone and Joint Surgery. British Volume·M I ParkerK Gurusamy
Jul 28, 2010·The Journal of Bone and Joint Surgery. American Volume·Moon Seok ParkKyoung Min Lee
Dec 15, 2010·Injury·T William Axelrad, Thomas A Einhorn
Jun 2, 2011·Clinics in Orthopedic Surgery·Sung Ki ParkShin Yoon Kim
Apr 11, 2012·The Journal of Bone and Joint Surgery. American Volume·Fraser TaylorMark Zhu
Oct 2, 2013·Clinical Orthopaedics and Related Research·Ellen LangsletWender Figved
Apr 3, 2014·The Bone & Joint Journal·H Feyen, A J Shimmin

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Citations

Apr 24, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Jin Soo A SongGlen Richardson
Aug 24, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Neil P ShethRan Schwarzkopf
Jun 14, 2018·Hip & Pelvis·Joong-Myung LeeTae-Ho Kim
Oct 26, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Karren M TakamuraSophia N Sangiorgio

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