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Acetabular cartilage abnormalities in elderly patients with femoral neck fractures
Introduction: Both hemiarthroplasty (HA) and total hip arthroplasty (THA) are widely accepted surgical procedures for hip replacement following displaced femoral neck fractures. However, in cases involving an intact joint line before surgery, the choice between HA and THA remains debatable. This stu...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
EDP Sciences
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196023/ https://www.ncbi.nlm.nih.gov/pubmed/35699460 http://dx.doi.org/10.1051/sicotj/2022022 |
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author | Ochi, Hironori Kobayashi, Hideo Baba, Tomonori Nakajima, Riko Kurita, Yasuha Kato, Suguru Sasaki, Kyoko Nozawa, Masahiko Kim, Sung-Gon Sakamoto, Yuko Homma, Yasuhiro Kaneko, Kazuo Ishijima, Muneaki |
author_facet | Ochi, Hironori Kobayashi, Hideo Baba, Tomonori Nakajima, Riko Kurita, Yasuha Kato, Suguru Sasaki, Kyoko Nozawa, Masahiko Kim, Sung-Gon Sakamoto, Yuko Homma, Yasuhiro Kaneko, Kazuo Ishijima, Muneaki |
author_sort | Ochi, Hironori |
collection | PubMed |
description | Introduction: Both hemiarthroplasty (HA) and total hip arthroplasty (THA) are widely accepted surgical procedures for hip replacement following displaced femoral neck fractures. However, in cases involving an intact joint line before surgery, the choice between HA and THA remains debatable. This study investigated the prevalence of acetabular cartilage and labral abnormalities in elderly patients with femoral neck fractures. Methods: Thirty-seven patients underwent hip arthroplasty for femoral neck fractures between April 2020 and February 2021. After excluding 4 patients, 33 patients (6 men and 27 women; mean age = 82.2 [range = 67–98] years) with fractures in 12 left and 21 right hips were included. After femoral head removal during arthroplasty, the acetabulum was macroscopically examined for the presence of cartilage and labral lesions. Acetabular cartilage abnormalities were classified as either overall degeneration or partial damage according to the cartilage damage classification system. Results: Acetabular cartilage abnormalities, including overall degeneration or partial damage, were found in all hips (100%). Out of the 33 hips, overall degeneration, partial damage, and labral abnormalities were detected in 32 (96.9%), 16 (48.4%), and 9 (27.2%) hips, respectively. Discussion: In this study, most elderly patients with femoral neck fractures exhibited acetabular cartilage and labral abnormalities, which were already present at the time of surgery. Therefore, surgeons should carefully examine these abnormalities as they may impact postoperative outcomes such as pain and function. |
format | Online Article Text |
id | pubmed-9196023 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | EDP Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-91960232022-06-24 Acetabular cartilage abnormalities in elderly patients with femoral neck fractures Ochi, Hironori Kobayashi, Hideo Baba, Tomonori Nakajima, Riko Kurita, Yasuha Kato, Suguru Sasaki, Kyoko Nozawa, Masahiko Kim, Sung-Gon Sakamoto, Yuko Homma, Yasuhiro Kaneko, Kazuo Ishijima, Muneaki SICOT J Original Article Introduction: Both hemiarthroplasty (HA) and total hip arthroplasty (THA) are widely accepted surgical procedures for hip replacement following displaced femoral neck fractures. However, in cases involving an intact joint line before surgery, the choice between HA and THA remains debatable. This study investigated the prevalence of acetabular cartilage and labral abnormalities in elderly patients with femoral neck fractures. Methods: Thirty-seven patients underwent hip arthroplasty for femoral neck fractures between April 2020 and February 2021. After excluding 4 patients, 33 patients (6 men and 27 women; mean age = 82.2 [range = 67–98] years) with fractures in 12 left and 21 right hips were included. After femoral head removal during arthroplasty, the acetabulum was macroscopically examined for the presence of cartilage and labral lesions. Acetabular cartilage abnormalities were classified as either overall degeneration or partial damage according to the cartilage damage classification system. Results: Acetabular cartilage abnormalities, including overall degeneration or partial damage, were found in all hips (100%). Out of the 33 hips, overall degeneration, partial damage, and labral abnormalities were detected in 32 (96.9%), 16 (48.4%), and 9 (27.2%) hips, respectively. Discussion: In this study, most elderly patients with femoral neck fractures exhibited acetabular cartilage and labral abnormalities, which were already present at the time of surgery. Therefore, surgeons should carefully examine these abnormalities as they may impact postoperative outcomes such as pain and function. EDP Sciences 2022-06-14 /pmc/articles/PMC9196023/ /pubmed/35699460 http://dx.doi.org/10.1051/sicotj/2022022 Text en © The Authors, published by EDP Sciences, 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Ochi, Hironori Kobayashi, Hideo Baba, Tomonori Nakajima, Riko Kurita, Yasuha Kato, Suguru Sasaki, Kyoko Nozawa, Masahiko Kim, Sung-Gon Sakamoto, Yuko Homma, Yasuhiro Kaneko, Kazuo Ishijima, Muneaki Acetabular cartilage abnormalities in elderly patients with femoral neck fractures |
title | Acetabular cartilage abnormalities in elderly patients with femoral neck fractures |
title_full | Acetabular cartilage abnormalities in elderly patients with femoral neck fractures |
title_fullStr | Acetabular cartilage abnormalities in elderly patients with femoral neck fractures |
title_full_unstemmed | Acetabular cartilage abnormalities in elderly patients with femoral neck fractures |
title_short | Acetabular cartilage abnormalities in elderly patients with femoral neck fractures |
title_sort | acetabular cartilage abnormalities in elderly patients with femoral neck fractures |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196023/ https://www.ncbi.nlm.nih.gov/pubmed/35699460 http://dx.doi.org/10.1051/sicotj/2022022 |
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