Outcome after hemiarthroplasty for femoral neck fractures in the elderly.
A prospective outcome study was performed on 270 patients, 65 years of age and older, who sustained a femoral neck fracture and underwent hemiarthroplasty. The treatment compared was the use of a noncemented unipolar versus either a cemented or a press fit bipolar prosthesis. The outcome variables assessed included the occurrence of a postoperative complication, length and cost of hospitalization, and function in various quality of life measurements. Patients who underwent bipolar hemiarthroplasty with either a cemented or a press fit prosthesis had better pain relief and function than patients who had a noncemented unipolar prosthesis at a minimum of 24 months after surgery. However, the mean hospitalization cost for patients who had a bipolar prosthesis was $12,290 compared with $8876 for a unipolar prosthesis.
Kenzora
J E
JE
Division of Orthopaedic Surgery, University of Maryland Hospital, Baltimore, MD 21201, USA.
Magaziner
J
J
Hudson
J
J
Hebel
J R
JR
Young
Y
Y
Hawkes
W
W
Felsenthal
G
G
Zimmerman
S I
SI
Provenzano
G
G
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D002484:Cementation; D003071:Cognition / Q000502:physiology; D003365:Costs and Cost Analysis; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000191:economics; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007902:Length of Stay; D008297:Male; D010146:Pain / Q000517:prevention & control; D011183:Postoperative Complications; D011187:Posture / Q000502:physiology; D011446:Prospective Studies; D011474:Prosthesis Design; D011788:Quality of Life; D012044:Regression Analysis; D012917:Social Adjustment; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology