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Sturdiness of Hemiarthroplasty for Pathologic Proximal Femur Fractures.
J Arthroplasty. 2017 Dec;32(12):3607-3610
Authors: Houdek MT, Wyles CC, Labott JR, Rose PS, Taunton MJ, Sim FH
Summary
BACKGROUND: The hip is a typical location for metastatic tumors. As a result of excessive masses positioned by way of the proximal femur, surgical procedure is commonly indicated to supply ache reduction and restore operate. Traditionally, these lesions are reconstructed with a hemiarthroplasty; nonetheless, there are few stories on the result of those reconstructions. The aim of this research is to judge the result of hemiarthroplasty for the therapy of proximal femur metastatic illness, with a particular deal with the charges of conversion to whole hip arthroplasty (THA).
METHODS: 100 ninety-nine sufferers (102 girls, 97 males) have been handled utilizing a hemiarthroplasty to reconstruct the proximal femur for metastatic illness between 1992 and 2014. Imply age and physique mass index have been 62 years and 27.four kg/m2, respectively. The commonest website of main illness was the breast (n = 63). The commonest location for the metastatic illness was the femoral neck (n = 148). Imply follow-up for surviving sufferers was four years.
RESULTS: Over the course of the research, 2 (1%) sufferers underwent conversion to a THA on account of groin ache and degenerative adjustments. As well as, issues occurred in 12% of sufferers, mostly a deep venous thrombosis (n = 5). Following the process, imply Harris Hip Rating and Musculoskeletal Tumor Society 1993 scores have been 73 and 63%, respectively.
CONCLUSION: Reconstruction of the proximal femur with a hemiarthroplasty endoprosthesis supplies a majority of sufferers with a sturdy technique of reconstruction, with a low price of conversion to THA.
PMID: 28735800 [PubMed – indexed for MEDLINE]