Abstract | BACKGROUND: METHODS: This multicenter parallel-randomized controlled trial included patients of 70 years and older with a displaced femoral neck fracture (Garden type III or IV). Inclusion was between August 2008 and June 2012. Patients were randomized between a cemented hemiarthroplasty, type Müller Straight Stem or an uncemented hemiarthroplasty, type DB-10. Primary outcomes were complications, operation time, functional outcome (measured by Timed-Up-and-Go (TUG) and Groningen Activity Restriction Scale (GARS)) and mid-thigh pain. Health Related Quality of Life (HRQoL, expressed with the SF-12) was measured as an secondary outcome. Follow up was 1 year. RESULTS: In total 201 patients were included in the study (91 uncemented, 110 cemented hemiarthroplasties) The uncemented group showed more major local complications (intra- and postoperative fractures and dislocations) odds ratio (95% confidence interval) 3.36 (1.40 to 8.11). There was no difference in mean operation time (57.3 vs 55.4 min). There were no differences in functional outcomes (TUG 12.8 (9.4) vs. 13.9 (9.0), GARS 43.2 (19.7) vs. 39.2 (16.5)) and mid-thigh pain (18.6 vs 21.6%). Physical component SF-12 HRQoLwas lower in the uncemented group (30.3 vs. 35.3 p < 0.05 after six weeks, 33.8 vs 38.5 p < 0.05 after 12 weeks). CONCLUSION: TRIAL REGISTRATION: Netherlands Trial Registry; NTR 1508 , accepted date 27 okt 2008.
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Authors | Sophie Moerman, Nina M C Mathijssen, Dieu D Niesten, Roeland Riedijk, Willard J Rijnberg, Sander Koëter, Keetie Kremers van de Hei, Wim E Tuinebreijer, Tim L Molenaar, Rob G H H Nelissen, Anne J H Vochteloo |
Journal | BMC musculoskeletal disorders
(BMC Musculoskelet Disord)
Vol. 18
Issue 1
Pg. 169
(04 21 2017)
ISSN: 1471-2474 [Electronic] England |
PMID | 28431543
(Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Aged
- Aged, 80 and over
- Arthroplasty, Replacement, Hip
(adverse effects, methods, statistics & numerical data)
- Bone Cements
- Female
- Femoral Neck Fractures
(surgery)
- Follow-Up Studies
- Humans
- Male
- Netherlands
(epidemiology)
- Postoperative Complications
(epidemiology, etiology)
- Treatment Outcome
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