nach oben

Archives of Orthopaedic and Trauma Surgery

Erschienen in:

13.12.2018 | Orthopaedic Surgery

Low dislocation rate of Saturne^®/Avantage^® dual-mobility THA after displaced femoral neck fracture: a cohort study of 966 hips with a minimum 1.6-year follow-up

verfasst von: Steffan Tabori-Jensen, Torben B. Hansen, Maiken Stilling

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 5/2019

Einloggen, um Zugang zu erhalten

Abstract

Introduction

Dislocation is a serious and common complication and a great concern with the use of total hip arthroplasty (THA) when treating displaced femoral neck fracture (FNF). Dual-mobility (DM) THA might reduce the dislocation risk. We aim to report the dislocation and revision rate of primary DM THA in patients with displaced FNF.

Materials and methods

Between 2005 and 2015, 966 consecutive patients (676 women) at mean age 80.5 years (range 42–104) with displaced FNF were operated with DM articulation THA by posterolateral approach (PLA). Patient files and radiographs were evaluated for dislocations, revisions, and other complications until death of the patient or August 1st, 2017. Data were crosschecked with the National Patient Registry. Patient’s mental state was tested upon admissions. Surgeon’s educational level was noted and post-operative cup position was measured.

Results

At minimum 1.6-year follow-up, there were 45 (4.7%) dislocations and eight (0.8%) cup revisions. The 30-day mortality was 9.2% and 533 patients (55.2%) were dead at the time of last follow-up. We observed eight intraprosthetic dislocations (IPD); six occurred in relation to closed reduction. Cementless stem fixation was associated with higher dislocation risk (p = 0.04) and higher rate of stem complications (p = 0.002). There was no significant association between cognitive impairment and dislocation (OR 2.0, 95% CI 0.96–4.34, p = 0.06).

Conclusion

Overall, DM THA inserted via PLA results in an acceptable dislocation risk and low revision rate in fragile, old patients with acute FNF fracture, regardless of mental status. A unique complication in DM THA is IPD, which requires an immediate open reduction surgery.

Hopley C, Stengel D, Ekkernkamp A, Wich M (2010) Primary total hip arthroplasty versus hemiarthroplasty for displaced intracapsular hip fractures in older patients: systematic review. BMJ 340:c2332. https://doi.org/10.1136/bmj.c2332 CrossRefPubMed

Rogmark C, Johnell O (2006) Primary arthroplasty is better than internal fixation of displaced femoral neck fractures: a meta-analysis of 14 randomized studies with 2,289 patients. Acta Orthop 77(3):359–367. https://doi.org/10.1080/17453670610046262 CrossRefPubMed

Jiang J, Yang CH, Lin Q, Yun XD, Xia YY (2015) Does arthroplasty provide better outcomes than internal fixation at mid- and long-term followup? A meta-analysis. Clin Orthop Relat Res 473(8):2672–2679. https://doi.org/10.1007/s11999-015-4345-3 CrossRefPubMedPubMedCentral

Rogmark C, Leonardsson O (2016) Hip arthroplasty for the treatment of displaced fractures of the femoral neck in elderly patients. Bone Jt J 98-b(3):291–297. https://doi.org/10.1302/0301-620x.98b3.36515 CrossRef

Hansson S, Nemes S, Karrholm J, Rogmark C (2017) Reduced risk of reoperation after treatment of femoral neck fractures with total hip arthroplasty. Acta Orthop 88(5):500–504. https://doi.org/10.1080/17453674.2017.1348095 CrossRefPubMedPubMedCentral

Wang Z, Bhattacharyya T (2017) Outcomes of hemiarthroplasty and total hip arthroplasty for femoral neck fracture: a medicare cohort study. J Orthop Trauma 31(5):260–263. https://doi.org/10.1097/bot.0000000000000814 CrossRefPubMedPubMedCentral

Carroll C, Stevenson M, Scope A, Evans P, Buckley S (2011) Hemiarthroplasty and total hip arthroplasty for treating primary intracapsular fracture of the hip: a systematic review and cost-effectiveness analysis. Health Technol Assess 15(36):1–74. https://doi.org/10.3310/hta15360 CrossRefPubMedPubMedCentral

Burgers PT, Van Geene AR, Van den Bekerom MP, Van Lieshout EM, Blom B, Aleem IS, Bhandari M, Poolman RW (2012) Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis and systematic review of randomized trials. Int Orthop 36(8):1549–1560. https://doi.org/10.1007/s00264-012-1569-7 CrossRefPubMedPubMedCentral

Grazioli A, Ek ET, Rudiger HA (2012) Biomechanical concept and clinical outcome of dual mobility cups. Int Orthop 36(12):2411–2418. https://doi.org/10.1007/s00264-012-1678-3 CrossRefPubMedPubMedCentral

10.

Cross MB, Nam D, Mayman DJ (2012) Ideal femoral head size in total hip arthroplasty balances stability and volumetric wear. HSS J 8(3):270–274. https://doi.org/10.1007/s11420-012-9287-7 CrossRefPubMedPubMedCentral

11.

Bystrom S, Espehaug B, Furnes O, Havelin LI, Norwegian Arthroplasty R (2003) Femoral head size is a risk factor for total hip luxation: a study of 42,987 primary hip arthroplasties from the Norwegian Arthroplasty Register. Acta Orthop Scand 74(5):514–524. https://doi.org/10.1080/00016470310017893 CrossRefPubMed

12.

Boyer B, Philippot R, Geringer J, Farizon F (2012) Primary total hip arthroplasty with dual mobility socket to prevent dislocation: a 22-year follow-up of 240 hips. Int Orthop 36(3):511–518. https://doi.org/10.1007/s00264-011-1289-4 CrossRefPubMed

13.

Prudhon JL, Verdier R, Caton JH (2017) Low friction arthroplasty and dual mobility cup: a new gold standard. Int Orthop 41(3):563–571. https://doi.org/10.1007/s00264-016-3375-0 CrossRefPubMed

14.

Palm H, Krasheninnikoff M, Holck K, Lemser T, Foss NB, Jacobsen S, Kehlet H, Gebuhr P (2012) A new algorithm for hip fracture surgery. Reoperation rate reduced from 18% to 12% in 2,000 consecutive patients followed for 1 year. Acta Orthop 83(1):26–30. https://doi.org/10.3109/17453674.2011.652887 CrossRefPubMedPubMedCentral

15.

Garden RS (1961) Low-angle fixation in fractures of the femoral neck. J Bone Jt surg Br 43 B(4):647–663CrossRef

16.

Society DO (2008) Referenceprogram for patients with hipfracture

17.

Philippot R, Adam P, Farizon F, Fessy MH, Bousquet G (2006) [Survival of cementless dual mobility sockets: ten-year follow-up]. Revue de chirurgie orthopedique et reparatrice de l’appareil moteur 92(4):326–331CrossRefPubMed

18.

Guyen O, Pibarot V, Vaz G, Chevillotte C, Carret JP, Bejui-Hugues J (2007) Unconstrained tripolar implants for primary total hip arthroplasty in patients at risk for dislocation. J Arthroplast 22(6):849–858. https://doi.org/10.1016/j.arth.2006.11.014 CrossRef

19.

Wang F, Zhang H, Zhang Z, Ma C, Feng X (2015) Comparison of bipolar hemiarthroplasty and total hip arthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis. BMC Musculoskelet Disord 16:229. https://doi.org/10.1186/s12891-015-0696-x CrossRefPubMedPubMedCentral

20.

Hansson S, Nemes S, Karrholm J, Rogmark C (2017) Reduced risk of reoperation after treatment of femoral neck fractures with total hip arthroplasty. Acta Orthop. https://doi.org/10.1080/17453674.2017.1348095 CrossRefPubMedPubMedCentral

21.

Agency HDP (2016) Documentation of the registers. National Patient Register. http://www.esundhed.dk/dokumentation/Registre/Sider/Register.aspx?rp:A_Register=5%26rp:Visning=0%26#Pf59b6ee8c4964403a7156bcfbe588eda_3_133iT0

22.

Qureshi KN, Hodkinson HM (1974) Evaluation of a ten-question mental test in the institutionalized elderly. Age Ageing 3(3):152–157CrossRefPubMed

23.

Jolles BM, Zangger P, Leyvraz PF (2002) Factors predisposing to dislocation after primary total hip arthroplasty: a multivariate analysis. J Arthroplast 17(3):282–288CrossRef

24.

Paterno SA, Lachiewicz PF, Kelley SS (1997) The influence of patient-related factors and the position of the acetabular component on the rate of dislocation after total hip replacement. J Bone Jt Surg Am 79(8):1202–1210CrossRef

25.

Bensen AS, Jakobsen T, Krarup N (2014) Dual mobility cup reduces dislocation and re-operation when used to treat displaced femoral neck fractures. Int Orthop 38(6):1241–1245. https://doi.org/10.1007/s00264-013-2276-8 CrossRefPubMedPubMedCentral

26.

Nich C, Vandenbussche E, Augereau B, Sadaka J (2016) Do dual-mobility cups reduce the risk of dislocation in total hip arthroplasty for fractured neck of femur in patients aged older than 75 years? J Arthroplast 31(6):1256–1260. https://doi.org/10.1016/j.arth.2015.11.041 CrossRef

27.

Tarasevicius S, Busevicius M, Robertsson O, Wingstrand H (2010) Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture. BMC Musculoskelet Disord 11:175. https://doi.org/10.1186/1471-2474-11-175 CrossRefPubMedPubMedCentral

28.

Enocson A, Hedbeck CJ, Tidermark J, Pettersson H, Ponzer S, Lapidus LJ (2009) Dislocation of total hip replacement in patients with fractures of the femoral neck. Acta Orthop 80(2):184–189. https://doi.org/10.3109/17453670902930024 CrossRefPubMedPubMedCentral

29.

Skoldenberg O, Ekman A, Salemyr M, Boden H (2010) Reduced dislocation rate after hip arthroplasty for femoral neck fractures when changing from posterolateral to anterolateral approach. Acta Orthop 81(5):583–587. https://doi.org/10.3109/17453674.2010.519170 CrossRefPubMedPubMedCentral

30.

Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Mole D, Fessy MH, Traumatology S (2012) French Society of Orthopaedic. Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly. A prospective, systematic, multicenter study with specific focus on postoperative dislocation. OTSR 98(3):296–300. https://doi.org/10.1016/j.otsr.2012.01.005 CrossRefPubMed

31.

Registry DHR (2016) Danish Hip Replacement Registry—Annual report. http://danskhoftealloplastikregister.dk/wp-content/uploads/2015/11/DHR-%C3%A5rsrapport-2016.pdf (Danish Hip Replacement Registry—Annual report 2016)

32.

Johansson T (2014) Internal fixation compared with total hip replacement for displaced femoral neck fractures: a minimum fifteen-year follow-up study of a previously reported randomized trial. J Bone Jt Surg Am 96(6):e46. https://doi.org/10.2106/JBJS.K.00244 CrossRef

33.

Jameson SS, Lees D, James P, Johnson A, Nachtsheim C, McVie JL, Rangan A, Muller SD, Reed MR (2013) Cemented hemiarthroplasty or hip replacement for intracapsular neck of femur fracture? A comparison of 7732 matched patients using national data. Injury 44(12):1940–1944CrossRefPubMed

34.

Yu L, Wang Y, Chen J (2012) Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures: meta-analysis of randomized trials. Clin Orthop Relat Res 470(8):2235–2243CrossRefPubMedPubMedCentral

35.

Widmer KH, Zurfluh B (2004) Compliant positioning of total hip components for optimal range of motion. J Orthop Res 22(4):815–821. https://doi.org/10.1016/j.orthres.2003.11.001 CrossRefPubMed

36.

Biedermann R, Tonin A, Krismer M, Rachbauer F, Eibl G, Stockl B (2005) Reducing the risk of dislocation after total hip arthroplasty: the effect of orientation of the acetabular component. J Bone Jt Surg Br 87(6):762–769. https://doi.org/10.1302/0301-620X.87B6.14745 CrossRef

37.

Seagrave KG, Troelsen A, Malchau H, Husted H, Gromov K (2017) Acetabular cup position and risk of dislocation in primary total hip arthroplasty. Acta Orthop 88(1):10–17. https://doi.org/10.1080/17453674.2016.1251255 CrossRefPubMed

38.

Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Jt Surg Am 60(2):217–220CrossRef

39.

Philippot R, Farizon F, Camilleri JP, Boyer B, Derhi G, Bonnan J, Fessy MH, Lecuire F (2008) Survival of cementless dual mobility socket with a mean 17 years follow-up. Revue de chirurgie orthopedique et reparatrice de l’appareil moteur 94 (8):e23-27. https://doi.org/10.1016/j.rco.2007.10.013

40.

De Martino I, D’Apolito R, Waddell BS, McLawhorn AS, Sculco PK, Sculco TP (2017) Early intraprosthetic dislocation in dual-mobility implants: a systematic review. Arthroplast Today 3(3):197–202. https://doi.org/10.1016/j.artd.2016.12.002 CrossRefPubMedPubMedCentral

41.

Hamadouche M, Arnould H, Bouxin B (2012) Is a cementless dual mobility socket in primary THA a reasonable option? Clin Orthop Relat Res 470(11):3048–3053. https://doi.org/10.1007/s11999-012-2395-3 CrossRefPubMedPubMedCentral

42.

Tarasevicius S, Smailys A, Grigaitis K, Robertsson O, Stucinskas J (2017) Short-term outcome after total hip arthroplasty using dual-mobility cup: report from Lithuanian Arthroplasty Register. Int Orthop 41(3):595–598. https://doi.org/10.1007/s00264-016-3389-7 CrossRefPubMed

43.

Khan RJ, MacDowell A, Crossman P, Datta A, Jallali N, Arch BN, Keene GS (2002) Cemented or uncemented hemiarthroplasty for displaced intracapsular femoral neck fractures. Int Orthop 26(4):229–232. https://doi.org/10.1007/s00264-002-0356-2 CrossRefPubMedPubMedCentral

44.

Parker MJ, Gurusamy KS, Azegami S (2010) Arthroplasties (with and without bone cement) for proximal femoral fractures in adults. Cochrane Database Syst Rev (6):CD001706. https://doi.org/10.1002/14651858.CD001706.pub4

45.

Chammout G, Muren O, Laurencikas E, Bodén H, Kelly-Pettersson P, Sjöö H, Stark A, Sköldenberg O (2017) More complications with uncemented than cemented femoral stems in total hip replacement for displaced femoral neck fractures in the elderly. Acta Orthop 88(2):145–151. https://doi.org/10.1080/17453674.2016.1262687 CrossRefPubMed

46.

Yli-Kyyny T, Ojanpera J, Venesmaa P, Kettunen J, Miettinen H, Salo J, Kroger H (2013) Perioperative complications after cemented or uncemented hemiarthroplasty in hip fracture patients. SJS 102(2):124–128. https://doi.org/10.1177/1457496913482249 CrossRefPubMed

47.

fracture DIRfH (2017) Danish Interdisciplinary Register for Hip fracture—National Annual Report 2017

48.

Tabori-Jensen S, Hansen TB, Bovling S, Aalund P, Homilius M, Stilling M (2018) Good function and high patient satisfaction at mean 2.8 years after dual mobility THA following femoral neck fracture: a cross-sectional study of 124 patients. Clin Interv Aging 13:615–621. https://doi.org/10.2147/CIA.S157671 CrossRefPubMedPubMedCentral

Titel: Low dislocation rate of Saturne®/Avantage® dual-mobility THA after displaced femoral neck fracture: a cohort study of 966 hips with a minimum 1.6-year follow-up
verfasst von: Steffan Tabori-Jensen
Torben B. Hansen
Maiken Stilling
Publikationsdatum: 13.12.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 5/2019
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-018-3093-8

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

23.04.2024 | Leitsymptom Rückenschmerzen | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Low dislocation rate of Saturne^®/Avantage^® dual-mobility THA after displaced femoral neck fracture: a cohort study of 966 hips with a minimum 1.6-year follow-up

Abstract

Introduction

Materials and methods

Results

Conclusion

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Introduction

Materials and methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2019

The intra- and interobserver reliability of the Tile AO, the Young and Burgess, and FFP classifications in pelvic trauma

Prevention of postoperative bleeding in hip fractures treated with prosthetic replacement: efficacy and safety of fibrin sealant and tranexamic acid. A randomised controlled clinical trial (TRANEXFER study)

Outcomes in 385 developmental dysplastic hips requiring total hip arthroplasty

Intraoperative ultrasound-guided reduction of femoral shaft fractures using intramedullary nailing: a technical note

The Extension–Thickness–Damage (ETD) score: a pre-operative hip MR arthrography-based classification to predict type of labrum surgery

Correlation of histological and microbiological findings in septic and aseptic knee implant failure

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie