title: Safety and efficacy of non-cemented femoral fixation in patients 75 years of age and older.
abstract: The aim of this study was to assess peri-operative complications, safety and efficacy of non-cemented femoral fixation in total hip arthroplasty (THA) as compared to cemented femoral fixation in the elderly population. Fifty-two matched pair analysis of patients with 75 years of age and older (104 patients), who underwent primary THA from June 1997 to December 2004, was performed based on age, sex, BMI, and Charnley classification. Mean age was 81 years (75-101) and the average follow up was 3.1 ± 2.9 years (1.2-6.4). There was no difference in peri-operative cardiopulmonary complications, pulmonary failures, deep venous thrombosis, pulmonary embolus, length of stay, or discharge deposition between the two groups. Non-cemented fixation is safe and effective in patients older than 75 years of age.
authors.affiliation: Hospital for Special Surgery, New York, New York 1002, USA.
authors.forename: Morteza
authors.initials: M
authors.lastname: Meftah
authors.forename: Mario
authors.initials: M
authors.lastname: John
authors.forename: Matin
authors.initials: M
authors.lastname: Lendhey
authors.forename: Aleksandr
authors.initials: A
authors.lastname: Khaimov
authors.forename: Amar S
authors.initials: AS
authors.lastname: Ranawat
authors.forename: Chitranjan S
authors.initials: CS
authors.lastname: Ranawat
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001843:Bone Cements; D005260:Female; D005264:Femoral Fractures / Q000453:epidemiology / Q000517:prevention & control; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000145:classification*; D006801:Humans; D015994:Incidence; D008297:Male; D015207:Osteoarthritis, Hip / Q000601:surgery*; D057068:Periprosthetic Fractures / Q000453:epidemiology / Q000517:prevention & control; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements
keywords: elderly; matched pair analysis; non-cemented femoral fixation; peri-operative complications; total hip arthroplasty