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A comparison of outcomes and dislocation rates using dual articulation cups and THA for intracapsular femoral neck fractures

Tarasevicius, Sarunas; Robertsson, Otto LU ; Dobozinskas, Paulius and Wingstrand, Hans LU (2013) In HIP International 23(1). p.22-26
Abstract
Total hip arthroplasty for intracapsular femoral neck fractures (FNF) is associated with a greater risk of dislocation. Dual articulation systems in this group of patients may provide better implant stability and a reduced dislocation rate. The aim of our study was to investigate FNF patients treated with dual articulation cups (DAC) and conventional THA and compare their clinical results at four months and one year after surgery. Our study compared femoral neck fracture patients treated with either DAC or conventional THA during two different time periods. Before surgery and during follow-up, the patients answered questions regarding their mobility, pain and usage of walking aids. Additionally at four-month and one-year follow-ups EQ-5D... (More)
Total hip arthroplasty for intracapsular femoral neck fractures (FNF) is associated with a greater risk of dislocation. Dual articulation systems in this group of patients may provide better implant stability and a reduced dislocation rate. The aim of our study was to investigate FNF patients treated with dual articulation cups (DAC) and conventional THA and compare their clinical results at four months and one year after surgery. Our study compared femoral neck fracture patients treated with either DAC or conventional THA during two different time periods. Before surgery and during follow-up, the patients answered questions regarding their mobility, pain and usage of walking aids. Additionally at four-month and one-year follow-ups EQ-5D and HOOS questionnaires were applied for those patients qualifying for functional and quality of life analysis. Out of 125 femoral neck fracture patients 58 were treated with DAC and 67 with conventional THA. At four months and one year follow-up the HOOS and EQ-5D results did not differ significantly between DAC and conventional THA. Five hips in the THA group were revised for recurrent dislocation and two had a single dislocation. One year after surgery, the functional result of DAC and conventional THA are comparable but DAC have a lower risk of dislocation. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Femoral neck fracture, Dual articulation, Hip function
in
HIP International
volume
23
issue
1
pages
22 - 26
publisher
Wichtig Editore
external identifiers
  • wos:000320320900004
  • scopus:84874518422
ISSN
1724-6067
DOI
10.5301/HIP.2013.10632
language
English
LU publication?
yes
id
f8269766-7f51-4ccc-8193-84194c638881 (old id 3990530)
date added to LUP
2013-09-02 07:38:49
date last changed
2019-04-23 01:22:01
@article{f8269766-7f51-4ccc-8193-84194c638881,
  abstract     = {Total hip arthroplasty for intracapsular femoral neck fractures (FNF) is associated with a greater risk of dislocation. Dual articulation systems in this group of patients may provide better implant stability and a reduced dislocation rate. The aim of our study was to investigate FNF patients treated with dual articulation cups (DAC) and conventional THA and compare their clinical results at four months and one year after surgery. Our study compared femoral neck fracture patients treated with either DAC or conventional THA during two different time periods. Before surgery and during follow-up, the patients answered questions regarding their mobility, pain and usage of walking aids. Additionally at four-month and one-year follow-ups EQ-5D and HOOS questionnaires were applied for those patients qualifying for functional and quality of life analysis. Out of 125 femoral neck fracture patients 58 were treated with DAC and 67 with conventional THA. At four months and one year follow-up the HOOS and EQ-5D results did not differ significantly between DAC and conventional THA. Five hips in the THA group were revised for recurrent dislocation and two had a single dislocation. One year after surgery, the functional result of DAC and conventional THA are comparable but DAC have a lower risk of dislocation.},
  author       = {Tarasevicius, Sarunas and Robertsson, Otto and Dobozinskas, Paulius and Wingstrand, Hans},
  issn         = {1724-6067},
  keyword      = {Femoral neck fracture,Dual articulation,Hip function},
  language     = {eng},
  number       = {1},
  pages        = {22--26},
  publisher    = {Wichtig Editore},
  series       = {HIP International},
  title        = {A comparison of outcomes and dislocation rates using dual articulation cups and THA for intracapsular femoral neck fractures},
  url          = {http://dx.doi.org/10.5301/HIP.2013.10632},
  volume       = {23},
  year         = {2013},
}