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Is It Time to Phase Out the Austin Moore Hemiarthroplasty? A Propensity Score Matched Case Control Comparison versus Cemented Hemiarthroplasty
We compared the Austin Moore hemiarthroplasty versus cemented hemiarthroplasties using a propensity score matched cased control study. For a consecutive cohort of 450 patients with displaced intracapsular neck of femur fractures, 128 matched cases in each group were selected based on age, gender, wa...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799807/ https://www.ncbi.nlm.nih.gov/pubmed/27042669 http://dx.doi.org/10.1155/2016/7627216 |
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author | Fang, Christian Liu, Rui-Ping Lau, Tak-Wing Leung, Anderson Wong, Tak-Man Pun, Terence Leung, Frankie |
author_facet | Fang, Christian Liu, Rui-Ping Lau, Tak-Wing Leung, Anderson Wong, Tak-Man Pun, Terence Leung, Frankie |
author_sort | Fang, Christian |
collection | PubMed |
description | We compared the Austin Moore hemiarthroplasty versus cemented hemiarthroplasties using a propensity score matched cased control study. For a consecutive cohort of 450 patients with displaced intracapsular neck of femur fractures, 128 matched cases in each group were selected based on age, gender, walking status, nursing home residency, delays in surgery, ASA score, and the Charlson comorbidity score. At a mean follow-up of 16.3 months, we evaluated their outcomes. Significantly more patients with AMA experienced thigh pain (RR = 3.5, 95% CI: 1.67–7.33, p = 0.000), overall complications (RR = 4.47, 95% CI: 1.77–11.3, p = 0.000), and implant loosening (RR = 8.42, 95% CI: 2.63–26.95, p = 0.000). There were no definite cement related deaths in this series. There was no significant difference in mortality, walking status, and the number of revisions between the groups. We support the routine use of cemented hemiarthroplasty instead of the Austin Moore for treating elderlies with displaced intracapsular neck of femur fractures. |
format | Online Article Text |
id | pubmed-4799807 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-47998072016-04-03 Is It Time to Phase Out the Austin Moore Hemiarthroplasty? A Propensity Score Matched Case Control Comparison versus Cemented Hemiarthroplasty Fang, Christian Liu, Rui-Ping Lau, Tak-Wing Leung, Anderson Wong, Tak-Man Pun, Terence Leung, Frankie Biomed Res Int Clinical Study We compared the Austin Moore hemiarthroplasty versus cemented hemiarthroplasties using a propensity score matched cased control study. For a consecutive cohort of 450 patients with displaced intracapsular neck of femur fractures, 128 matched cases in each group were selected based on age, gender, walking status, nursing home residency, delays in surgery, ASA score, and the Charlson comorbidity score. At a mean follow-up of 16.3 months, we evaluated their outcomes. Significantly more patients with AMA experienced thigh pain (RR = 3.5, 95% CI: 1.67–7.33, p = 0.000), overall complications (RR = 4.47, 95% CI: 1.77–11.3, p = 0.000), and implant loosening (RR = 8.42, 95% CI: 2.63–26.95, p = 0.000). There were no definite cement related deaths in this series. There was no significant difference in mortality, walking status, and the number of revisions between the groups. We support the routine use of cemented hemiarthroplasty instead of the Austin Moore for treating elderlies with displaced intracapsular neck of femur fractures. Hindawi Publishing Corporation 2016 2016-03-06 /pmc/articles/PMC4799807/ /pubmed/27042669 http://dx.doi.org/10.1155/2016/7627216 Text en Copyright © 2016 Christian Fang et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Fang, Christian Liu, Rui-Ping Lau, Tak-Wing Leung, Anderson Wong, Tak-Man Pun, Terence Leung, Frankie Is It Time to Phase Out the Austin Moore Hemiarthroplasty? A Propensity Score Matched Case Control Comparison versus Cemented Hemiarthroplasty |
title | Is It Time to Phase Out the Austin Moore Hemiarthroplasty? A Propensity Score Matched Case Control Comparison versus Cemented Hemiarthroplasty |
title_full | Is It Time to Phase Out the Austin Moore Hemiarthroplasty? A Propensity Score Matched Case Control Comparison versus Cemented Hemiarthroplasty |
title_fullStr | Is It Time to Phase Out the Austin Moore Hemiarthroplasty? A Propensity Score Matched Case Control Comparison versus Cemented Hemiarthroplasty |
title_full_unstemmed | Is It Time to Phase Out the Austin Moore Hemiarthroplasty? A Propensity Score Matched Case Control Comparison versus Cemented Hemiarthroplasty |
title_short | Is It Time to Phase Out the Austin Moore Hemiarthroplasty? A Propensity Score Matched Case Control Comparison versus Cemented Hemiarthroplasty |
title_sort | is it time to phase out the austin moore hemiarthroplasty? a propensity score matched case control comparison versus cemented hemiarthroplasty |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799807/ https://www.ncbi.nlm.nih.gov/pubmed/27042669 http://dx.doi.org/10.1155/2016/7627216 |
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