Cemented Femoral Component Use in Hip Arthroplasty
| Autor: | John A Scanelli, John F. Sloboda, Joseph T. Moskal, Geoffrey R Reiser |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Reoperation Risk medicine.medical_specialty Joint replacement medicine.medical_treatment Arthroplasty Replacement Hip Periprosthetic Lower risk Prosthesis Design 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Humans Orthopedics and Sports Medicine Femoral component Fixation (histology) 030222 orthopedics business.industry Age Factors Bone Cements 030229 sport sciences Femoral fracture medicine.disease Arthroplasty Surgery Hip arthroplasty surgical procedures operative Hip Prosthesis business |
| Zdroj: | The Journal of the American Academy of Orthopaedic Surgeons. 27(4) |
| ISSN: | 1940-5480 |
| Popis: | Elderly patients undergoing both elective and nonelective hip arthroplasty contribute markedly to health care spending, and the current aging population is likely to require even more resources. Several national joint replacement registries show a lower risk of revision surgery in patients older than 75 years who received cemented femoral components compared with cementless implants for primary total hip arthroplasty. Despite a higher incidence of early periprosthetic femoral fracture, noncemented femoral components are being used with increasing frequency in elderly patients worldwide. Improvements in cementing technique and modifications to cemented stem design over several decades allow surgeons to obtain femoral component fixation in poor-quality bone with a relatively low risk of complications. Achieving durable cemented stem fixation requires the surgeon to understand the basic handling properties of cement, how to prepare the femoral bone, and differences in stem design and surface finish. |
| Databáze: | OpenAIRE |
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