Outcomes of surgical management of total HIP replacement in patients aged 65 years and older: cemented versus cementless femoral components and lateral or anterolateral versus posterior anatomical approach

Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
Sheryl ZimmermaJohn E Kenzora

Abstract

This observational study compared the outcomes of 271 cases of hip osteoarthritis receiving primary total hip replacement (patients 65 years of age and older) from numerous surgeons in 12 Baltimore region hospitals from 1991-1993. The independent variables studied were: (a) totally non-cemented prostheses (non-cemented femoral component, non-cemented acetabular component) versus hybrid prostheses (cemented femoral component, non-cemented acetabular component), and (b) lateral or anterolateral surgical approach versus posterior surgical approach. Outcomes included complications during the initial hospitalization, hospital length of stay, hospital cost, readmission, and reported and/or observed physical, instrumental, neuromuscular and affective functioning and pain at 2, 6, and 12 months post surgery. Results indicated that, while the totally non-cemented prosthesis was more costly, there were no statistically significant differences in clinical or functional outcomes between the non-cemented and the hybrid prostheses up to 12 months post surgery. Also, while the posterior surgical approach was associated with a non-statistically significant higher rate of dislocation, overall, there was improved function and reduced pain in the...Continue Reading

References

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Citations

Jan 1, 2008·Indian Journal of Orthopaedics·Yusuf OztürkmenIbrahim Azboy
Mar 26, 2005·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Barbara ResnickJay Magaziner
Apr 7, 2004·The Journal of Arthroplasty·Keith R BerendJoanne B Adams
Mar 13, 2015·Clinical Orthopaedics and Related Research·Dhiren ShethRobert S Namba
Sep 6, 2008·American Journal of Physical Anthropology·Joshua J Peck, Sam D Stout
Jun 15, 2013·The Journal of Arthroplasty·Sascha ColenMichiel Mulier
Aug 10, 2010·BMC Musculoskeletal Disorders·Sarunas TaraseviciusHans Wingstrand
Nov 30, 2006·Journal of Biomedical Materials Research. Part a·Gladius LewisJulio San Román
Apr 15, 2008·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Wieslaw PospulaAli Al Mukaimi
Jul 21, 2006·The Cochrane Database of Systematic Reviews·Brigitte M Jolles, Earl R Bogoch
Mar 2, 2005·Clinical Orthopaedics and Related Research·Carsten PerkaGeorg N Duda
Oct 27, 2012·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Christian MerleTobias Gotterbarm
Dec 21, 2011·Journal of Orthopaedic Surgery·Kashif AbbasHaroon ur Rashid
Oct 22, 2008·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·G M WhatlingP Roberts

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