Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (26): 4796-4800.doi: 10.3969/j.issn.1673-8225.2012.26.010

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Cemented hemiarthroplasty for femoral neck fractures in elderly patients

Li Zhi-gang1, 2, Zhao De-wei2, Guo Lin2, Xia Chong-jun2   

  1. 1Department of Biomedical Engineering, Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian 116001, Liaoning Province, China;
    2Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, Liaoning Province, China
  • Received:2012-01-04 Revised:2012-04-05 Online:2012-06-24 Published:2013-11-02
  • Contact: Zhao De-wei, Doctor, Doctoral supervisor, Professor, Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, Liaoning Province, China gksys@126.com
  • About author:Li Zhi-gang☆, Studying for doctorate, Associate chief physician, Department of Biomedical Engineering, Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian 116001, Liaoning Province, China; Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, Liaoning Province, China drlizhigang@sina.com

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Abstract:

BACKGROUND: A discussion is ongoing whether the elderly patients with femoral neck fractures should be treated with a non-cemented or a cemented hemiarthroplasty.
OBJECTIVE: To evaluated the results of cemented hemiarthroplasty for femoral neck fractures in the patients older than 85 years with high-risk clinical problems and functional outcomes.
METHODS: Thirty-two patients with femoral neck fractures were treated with cemented bipolar hemiarthroplasty. X-ray examination after operation was done at 1, 3 and 6 months and annually in all patients. The mean follow-up period was 2 to 5 years.
RESULTS AND CONCLUSION: Medical complications occurred in five patients (16%) and four patients (25%) died within the follow-up period. Dislocation occurred in one patient (3%). None of the patients had heterotopic ossification. The mean Harris-hip score was 84. Cemented hemiarthroplasty can provide stability, security and good outcomes for the treatment of femoral neck fractures in elderly patients.

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