Outcome of Hemiarthroplasty of the Hip Joint in Maharat Nakhon Ratchasima Hospital
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Abstract: Hemiarthroplasty of the hip joint was the common operation in treatment of the fracture of the neck of the femur and avascular necrosis of the head of the femur. The objective of this study was to evaluate the surgical results at Maharat Nakhon Ratchasima hospital between January 1995 - December 1998. Two hundred and forty-eight patients were operated and all of them were asked by mail to return for evaluation of the surgical results by physical examination using modified Harris hip Rating Score and roentgenography. Fifty-five patients were enrolled in the study (19 males and 36 females). The mean age was 61.2 + 13.9 years (range 24–89 years). The most common cause was falling (63.6 %). The diagnosis were fracture of the neck of the femur (40 cases; 72.7 %), avascular necrosis of the head of the femur (11 cases; 20 %) and intertrochanteric fracture of the femur (4 cases; 7.3 %). The mean follow-up duration was 35.5 + 14.8 months (range 10.1–57.9 months). The mean length of hospital stay was 17.3 +5.4 days (range 9–31 days). The results was good with 85.46 + 16.58 (range 43–99) average Total Hip Score and 30.9% complication rate.
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References
Kyle RF, Cabanela ME, Russell TA, et al. Fractures of the proximal part of the fermur. Instr CoursLect 1995:41:227-51.
Cummming RG,Klineberg RJ. Fall frequency and characteristics and the risk of hip fractures. J Am Geriatr Soc 1994; 42:774-8.
Jamlo G, Thomgren K. Background factors to hip fractures. Clin Orthop 1993;287:41-9.
KovalKJ, Aharonoff GB, Rokito AS, Lyon T, Zuckerman JD.Patients with femoral neck and intertrochanteric ifractures: are they the same? Clin Orthop 1996:330:166-72.
Gehlsen GM, Whaley MH. Falls in the elderly: Part 2, balance, strength and flexibility. Arch Phys Med Rehabil 1990;71:739-41.
Greenspan SL, Myers E, Mailand LA, et al. Fall severity and bone mineral density at risk factors for hip fracture in ambulatory elderly. JAMA 1994;271:128-33.
Aharonoff GB, Dennis GB, Elshinawy A, Zuckerman JD, Koval KJ. Circumstances of falls causing hip fractures in the elderly. Clin Orthop 1998;348:10-4.
Russell TA. Fracture of hip and pelvis. In: Crenshaw AH, editor.Campbell's operative orthopaedics. 8th ed. St.Louis: Mosby Year Book;1992.p. 929-42.
Holmberg S, Conradi P, Kalen R, Thorngen KG. Mortality after cervical hip fracture: 3,002 patients followed for 6 years. Acta Orthop Scand 1986;57:8-11.
Magazinor J, Simonsick EM, Kashner TM, Hebebel JR, Kenzora JE. Survival experience of aged hip fracture patients. Am J Public Health 1989;79:274-8.
KovalKJ,Zuckerman JD. Functional recovery after fracture of the hip. J Bone Joint Surg 1994;76A:751-8.
Kitamura S, Hasegawa Y, Suzuki S, S, et al. Functional outcome after hip fracture in Japan. Cin Orthop1998:348:29-36
Kenzora JE, Magaziner J, Hudson J, et al. Outcome after hemiarthroplasty for femoral neck fractures in the elderly. Clin Orthop 1998;348:51-8
de Palma L, Rizzi L, Lorini G, Greco F.Survival after trochanteric fracture. Biological factors analyzed in 270 patients. Acta Orthop Scand 1992;63:645-7.
Kenzora JE, Mocarthy RE, Lowell JD, Sledge CB. Hip fracture mortality: relation to age, treatment, preoperative illness, time of surgery and complications Clin Orthop 1984;186:45-56.
Kyo T, Takaoka K, Ono K. Femoral neck fracture: factors related to ambulation and prognosis. Clin Orthop 1993; 292:215-22.
Mullen JO, Mullen NI. Hip fracture mortality: a prospective, rrultifunctional study to predict and mimize death risk. Clin Orthop 1992;280:214-22.
Wood DJ,Ions GK, Quinby GM, Gale DW, Stevens J.Factors which influence mortality after subcapital hip fracture. J Bone Joint Surg 1992;74B:199-202.
Patterson RJ, Bickel WH, Dahin DC. Idiopathic avascular necrosis of the head of the femur. J Bone Joint Surg 1964;46A:267-82.
Koval KJ, Aharonoff GB,Rosenborg AD, Bernstein RL, Zuckerman JD.Functional outcome after hip fracture: effect of general versus regional anesthesia. Clin Orthop 1998;348:37-41.
Valentin N, Lombolt B, Jensen JS, Hejgaard N, Kreiner S. Spinal or general anesthesia for surgery of the fracture hip? Br J Anaesth 1986;58:284-91.
Eskjaer S , Ostgaard SE. Survivorship analysis of hemiarthroplasties. Clin Orthop 1993;286:206-11.
Overgaand S, Jensen TT, Bonde G, Mossing NB. The uncemented bipolar hemiarthroplasty for displaced fractures of the fernoral neck: 6-year follow-up of 171 cases. Acta Orthop Scand 1991;62:115-20.
Goldhill VB, Lyden JP, Cormell CN. Bochman RM. Bipolar hemiarthroplasty for fracture of the femoral neck. J Orthop Trauma 1991;5:318-24.
Loyao GL, Keller RB, Litenberg B, Wennberg JE. Outcome after displaced fractures of the femoral neck: a meta-analysis of one hundred and six reports. J Bone Joint Surg 1994;76 A:15-25.
Labelle LW, Colwill JC, Swanson AB. Bateman bipolar hip arthroplasty for femoral neck fractures. A five-to-ten-yearfollow-up study. Clin Orthop 1990;251:20-5.
Lestrange NR. Bipolar arthroplasty for 496 hip fractures. Clin Orthop 1990;251:7-19.
Garrahan WF, Madden EJ. The long-stem bipolar prosthesis in surgery of the hip. Clin Orthop 1990;251:31-7.
MerdoL, Augereau B,Apoil A. Bipolar prosthesis in femoral neck fractures. Results and long-term acctabular tolerance of 36 bipolar arthroplasties (French). Rev Chir Orthop Reparatrice Appar Mot 1992;78:536-43.
Cornell CN, Levine D, O'Doherty J, Lyden J. Unipolar versus bipolar hemiarthroplasty for the treatment of femoral neck fractures in the elderly. Clin Orthop 1998;348:67-71.
Beckenbaugh RD, Tressler HA, Johnson EW Jr. Results after hemiarthroplasty of the hip using cemented femoral prosthesis: a review of 109 cases with average follow-up of 36 months. Mayo Clin Proc 1977:52:349-53.
Lausten GS, Vedel P, Nielsen PM. Fractures of the femoral neck treated with a bipolar endoprosthesis. Clin Orthop 1987;218:63-7.
Jadhar AP, Kulkarni SS, Vaidya SV, Direkar MM, Suralkar SP.Results of Austin-Moore replacement. J Postgrad Med 1996;42:33-8.
Clayer M, Bruckner J. The outcome of Austin Moore hemiarthroplasty for fracture of the femoral neck. Am J Orthop 1997;26:681-4.
Mess D, Barmada R. Clinical and motion studics of the Baterman bipolar prosthesis in osteonecrosis of the hip.Clin Orthop 1990;251:44-7.
Bednarek A, Gagala J,Blacha J Biomechanical priples, indications and early results of bipolar hip arthroplasty (Polish). Chir Narzadow Ruchu Ortop Pol 1998;63:133-8.
Marcus RE, Heintz JJ, Pattee GA. Don't throw away the Austin Moore. J Arthroplasty 1992;7:31-6.
Bands R, Pelker RR,Shine J, Bradbum H, Margolis R, Leach J. The noncemented porous-coat hip prosthesis. A three-year clinical follow-up study and roentgenographic analysis. Clin Orthop 1991;269:209-19.
Moshein J, Alter AH, Elconin KB, Adams WW Jr, Isaacson J. Transcervical fractures of the hip treated with the Bateman bipolar prosthesis. Clin Orthop 1990;251:48-53.
Mahomed N, Harris WH. Liang MH, Fossel AH, Katz.JN. Imputation of worman and SF-36 scores from the Harris hipscore. AAOS 1999 Annual meeting scientic program.
Koval KJ, Skovron ML, Aharonoff GB, Meadows SE, Zuckerman JD. Ambulatory ability after hip fracture: a prospective study in geriatric patients. Clin Orthop 1995;310:150-9.
Crowninshield RD, Johnston RC, Andrews JG, et al. A biomechanical investigation of the human hip. J Biomech 1978;11:75-85.
Magaziner J, Simonsick EM, Kashner TM, Hebel JR, Kenzora JE. Predictoes of functional rocovery one year following hospital discharge for hip fracture: a prospective study. J Gerontol 1990;43:101-7.
Davis TR, Sher JL, Horsman A, et al. Intertrochanteric femoral fractures: mechanical failure after internal fion. J Bone Joint Surg 1990;72B:26-31.
Larsson S, Friberg S, Hansson LI. Trochanteric fractures: influence of reduction and implant position on impaction and complications. Clin Orthop 1990;259:130-9.
Delce JC. Fractures of the neck of the femur. In: Rockwood CA, Green DP, Bucholz RW, editors. Rockwood and Green's fractures in adults. 3rd ed. Philadelphia: JB Lippincott;1991.p. 1509-25.