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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2022
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.
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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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