Trueba DC, Minueza MT, Gil OF, Ponce TV, García VR

Language: Spanish
References: 19
Page: 121-127
PDF size: 117.13 Kb.

ABSTRACT

Objective. To determine the factors that influence in the erosion to acetabular in patients with later hemiprosthesis to a fracture of hip with a survival greater to 1 year. Material and Methods. We made retrospective, comparative, descriptive and observational study, in patients who were used hemiarthroplasty for fracture of hip between January of 1997 and January of 2003. We obtained two groups of patients, those that had not undergone erosion and those that had erosion greater to 3 mm looked for similar characteristics, like age, pre passable cane or physical activity, overweight, sex, concomitances disease, degree of osteoporosis, function to cardiopulmonar, survival, size of prosthesis. We compared both groups to know if specific parameters in relation to factors existed that influenced in the erosion to acetabular. With one it would mean of p ‹ 0.02. Results. Three hundred and twelve patients took part themselves. Seventy one patients did not fulfill the inclusion criteria. We observed, in patients of smaller age with greater degree of function to cardiopulmonar, without concomitances diseases, independent march, greater survival and overweight, greater erosion after a year or but of patients (p ‹ 0.02). Sex, the osteoporosis and size of prosthesis did not influence for erosion risk since the findings were very similar in both studied groups (p ‹ 0.02). Conclusions. The patients who had one better function before and after the surgery, with similar characteristics within the training group, had greater risk of developing erosion to acetabular, reason why the positioning of a total prosthesis is but recommendable to avoid complications in the long term.

REFERENCES

1. Bhandari M, Devereaux PJ, Swiontkowski MF, et al: Internal fixation compared with arthroplasty for displaced fractures of the femoral neck: a meta-analysis. J Bone Surg Am 2003; 85: 1673.

2. Dorr LD, Glousman R, Sew Hoy AL, et el: Treatment of femoral neck fractures with total hip replacement versus cemented and nocemented hemiarthroplasty. J Arthroplasty 1986; 1: 21.

3. Kenzora JE, Magaziner J, Hudson J, et al: Outcome after hemiarthroplasty for femoral neck fractures in the elderly. Clin Orthop 1998; 348: 51.

4. Sonne-Holm S, Walter S, Jensen JS: Moore hemiarthroplasty with and without bone cement in femoral neck fractures. Acta Orthop Scand 1982; 3: 53.

5. Anderson GH, Dias JJ, Hoskinson J, Harper WM: A randomized study of the use of bone cement with Thompson’s prosthesis in the treatment for intracapsular fractures of the femoral neck. J Bone Joint Surg Br 1992; 74(Suppl 2): 132.

6. Cartlidge IC: Primary total hip replacement for displaced subcapital femoral fractures. Injury 1982; 13: 249.

7. Coates RL, Armour P: Treatment of subcapital fractures by primary total hip replacement. Injury 1979; 11: 132.

8. Delamarter R, Moreland JR: Treatment of acute femoral neck fractures with total hip arthroplasty. Clin Orthop 1987; 218: 68.

9. Drinker H, Murray WR: The universal proximal femoral endoprosthesis. J Bone Joint Surg 1979; 61A: 1167.

10. Giliberty RP: Hemiarthroplasty of the using a low-friction bipolar endoprosthesis. Clin Orthop 1983; 175: 86.

11. Hurst JW, Morris DC, Alexander RW. The use of the New York Heart Association’s classification of cardiovascular disease as part of the patient’s complete problem list. Clin Cardiol 1999; 22(6): 385-90.

12. Roizen M: Preoperative patient evaluation. Can J Anaesth 1989; 36: S13.

13. Goldman L: Multifactorial index of cardiac risk in noncardiac surgery: Ten year status report. J Cardiothorac Anesth 1987; 1: 237.

14. Goldman L, Caldera D, Nussbaum S, et al: Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med 1977; 197: 845.

15. Boereboom FT, de Groot RR, Raymobers JA, Duusrma SA: The incidence of hip fracture in the Netherlands. Neth J Med 1991; 38: 51-8.

16. Fisher ES, Baron JA, Malenka DJ, et al: Hip fracture incidence and mortality in New England. Epidemiology 1991; 2: 116-22.

17. Rao J, Parker J. Austin Moore hemiarthroplasty for hip fractures: An eight year mean follow up a consecutive series of 500 patients. Journal of Bone & Joint Surgery - British 2000; 82-B(I): 64.

18. Rodriguez-Merchan E, Carlos MD: Displaced intracapsular hip fractures: Hemiarthroplasty or total arthroplasty? Clinical Orthopaedics & Related Research 2002; (399): 72-7.

19. Koval KJ, Skvron ML, Ahoranoff GB, Zuckerman JD: Predictors of functional recovery after hip fracture in the elderly. Clinic Orthop 1998; 348: 22-8.