title: What should be the preferred choice of hemiarthroplasty technique in American Society of Anesthesiologists (ASA) class III patients with femoral neck fractures? Cemented or cementless.
abstract: The hypothetical basis of this trial specifies that hemiarthroplasty applications without cement will prove to be superior to applications with cement in terms of survival, complications, clinical and radiological improvements in the early stages of femoral neck fracture cases, which belongs to the Society of Anesthesiologists (ASA) class III group. Society of Anesthesiologists (ASA) class III elderly patients (minimum 70 years of age), who had undergone surgical interventions for femoral neck fractures were classified into two groups as those undergoing the intervention without cement (Group A) and those undergoing the procedure with cement (Group B), and these were retrospectively evaluated. The patients were followed up for a mean duration of 47.4 and 44.8 months, respectively. Survival in the early stage, duration of stay in the intensive care, intraoperative cardiac indexes, complications, clinical and radiological parameters were the main factors used in the evaluation and comparisons. The mean duration of operation in Group B cases was determined to be statistically significantly longer than that of Group A (p<0.001). The postoperative stay at the intensive care unit in both groups and the rate of mortality for 6 months in Group B were determined to be statistically significantly high (p<0.05). In group B, significant depressive findings were determined in the comparison of the intra-operative pre-and post-cement cardiac indexes. In the clinical assessment, no statistically significant results were obtained, although higher final Harris scores were determined in Group A cases (p=0.581). In the treatment of femoral neck fractures, bipolar hemiarthroplasty applications without cement provide favourable early and short-term results, which are at least as effective as the applications with cement.
authors.affiliation: Adana Numune Training and Research Hospital, Orthopaedi and Traumatology Department, Adana, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Cicek
authors.affiliation: Adana Numune Training and Research Hospital, Orthopaedi and Traumatology Department, Adana, Turkey. Electronic address: firatseyf@yahoo.com.
authors.forename: Fırat
authors.initials: F
authors.lastname: Seyfettinoglu
authors.affiliation: Ankara Ataturk Training and Research Hospital, Orthopaedi and Traumatologia Department, Ankara, Turkey.
authors.forename: Kasım
authors.initials: K
authors.lastname: Kilicarslan
authors.affiliation: Adana Numune Training and Research Hospital, Orthopaedi and Traumatology Department, Adana, Turkey.
authors.forename: Hasan Ulas
authors.initials: HU
authors.lastname: Ogur
authors.affiliation: Department of Anesthesia and Reanimation, Atatürk Training and Research Hospital, Ankara, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Öztürk
authors.affiliation: Department of Orthopedics and Traumatology, Samsun Training and Research Hospital, Samsun, Turkey.
authors.forename: Erkan
authors.initials: E
authors.lastname: İnkaya
mesh_terms: D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use*; D002484:Cementation / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D005265:Femoral Neck Fractures / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D062785:Hemiarthroplasty / Q000379:methods* / Q000401:mortality; D006801:Humans; D008297:Male; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology
chemical_list: D001843:Bone Cements
keywords: ASA class 3 patient; Cemented hemiarthroplasty; Cementless hemiarthroplasty; Femoral neck fracture