Yli-Kyyny T. Acta Orthop. 2014;doi:10.3109/17453674.2013.878827.
The use of uncemented hemiarthroplasty is associated with more hip reoperations and mechanical complications for patients with femoral neck fractures compared to patients who are treated using cemented hemiarthroplasty, according to a recently published data.
Using the PERFECT database, researchers identified 25,174 patients in Finland who were treated with hemiarthroplasty (HA) for a femoral neck fracture from 1999 to 2009. Using the unique personal identification number of each patient, data on comorbidities, the use of residential care and deaths in this population were extracted from the Finnish Health Care Register. Primary outcome measures included mortality, while secondary outcomes included reoperations, complications, readmissions and treatment times.
Researchers found patients who have an uncemented HA showed lower postoperative mortality during the first postoperative days. However, there were no significant differences in mortality for the patients at 1 week and 1 year after surgery. Patients treated with uncemented HA showed more mechanical complications, re-arthroplasties and femoral fracture operations during the first 3 months after surgery.