Is there still an indication for operative treatment of femoral neck fractures with a ceramic hemiprosthesis? Four-year results.
From 1985 to 1995, 417 patients with dislocated medial femoral neck fractures (Garden III-IV) were treated with hemiarthroplasty using a Biolox ceramic head. The average patient age at the time of operation was 81.5 years. A total of 140 survivors was available for follow-up examination with a mean prosthesis longevity of 55.8 months. The Harris hip score recorded a mean of 70.6 points. At the time of follow up, 5 patients had severe hip pain, and in 8 the roentgenographic examination revealed protrusio acetabuli. Five of these 8 patients underwent revision surgery for replacement of the cup, leaving the stem in situ.
Müller
L P
LP
Department of Traumatology, Johannes Gutenberg Universität, Mainz, Germany. muellerlars33@hotmail.com
Degreif
J
J
Basten
K
K
Zöphel
O
O
Rommens
P M
PM
D000368:Aged; D000369:Aged, 80 and over; D002516:Ceramics; D019544:Equipment Failure Analysis; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D010147:Pain Measurement; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011474:Prosthesis Design; D011859:Radiography; D012086:Reoperation