December 05, 2017
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Hemiarthroplasty seen as durable reconstruction method for proximal femur fractures

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Hemiarthroplasty for the reconstruction of the proximal femur offered most patients durable reconstruction and the rate of conversion to total hip arthroplasty was low, according to recently published results.

“In patients with a pathologic or impending pathologic femoral neck fracture, a bipolar hemiarthroplasty offers patients a durable means of reconstruction with a low rate of conversion to total hip arthroplasty and acceptable functional outcome,” Matthew T. Houdek, MD, told Healio.com/Orthopedics.

Houdek and colleagues identified 199 patients who underwent a hemiarthroplasty for the reconstruction of the proximal femur for metastatic disease. The mean age was 62 years. The mean follow-up was 4 years for the surviving patients. At the time of surgery, breast cancer was the most common primary tumor diagnosis. Metastatic disease was most commonly seen in the femoral neck.

There were 187 patients who died after proximal femur reconstruction due to disease progression at a mean 1 year after surgery. Investigators noted overall survival at 6 months, 1 year, 2 years, 5 years and 10 years was 60%, 42%, 22%, 7% and 2%, respectively. Due to groin pain and degenerative changes, two patients underwent conversion to THA. At least one postoperative complication was seen in 24 patients, with the most common being deep venous thrombosis. – by Monica Jaramillo

 

Disclosures: The authors report no relevant financial disclosures.