[Perioperative complications of patients with cementless femoral head replacement].
BACKGROUND
Studies have shown that use of cement is a risk factor for fat embolism in elderly patients with femoral neck fracture. We investigated the usefulness of the cementless femoral head replacement technique.


METHODS
A retrospective study of 58 patients who had undergone this technique between January 1995 and May 2001 was conducted. Perioperative complications, hospital length of stay, activities of daily living, and postoperative mortality were studied.


RESULTS
Of 58 patients, 42 (72.4%) were fe- males, and the mean age was 75.4 years. Twenty patients (69.0%) were classified as ASA class 2, and 50 patients (86.2%) had preoperative medical complications. Cardiovascular complications were the most prevalent, and 6 patients (10.3%) had serious perioperative complications, and postoperative death was noted in 1 patient within one month (1.7%), and 4 patients (6.9%) within one year. Average length of hospital stay was 64.2 days and activities of daily living were the same level as before the fracture.


CONCLUSIONS
Early rehabilitation was possible and hospital length of stay and activities of daily living were not inferior to the other treatments. We believe that cementless femoral head replacement technique was useful for elderly patients.
Kamada
Noriko
N
Department of Anesthesiology, Nikko Memorial Hospital, Muroran.
Murakami
Shin-Ichi
S
Maeda
Toshiaki
T
Shichinohe
Yasuo
Y
Tsunoda
Kazuma
K
Namiki
Akiyoshi
A
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001843:Bone Cements; D005260:Female; D005265:Femoral Neck Fractures / Q000534:rehabilitation / Q000601:surgery*; D005270:Femur Head / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality
D001843:Bone Cements