Survival of patients aged over 80 years after Austin-Moore hemiarthroplasty and bipolar hemiarthroplasty for femoral neck fractures
| Autor: | Yung-Ching Liu, Chen-Ti Wang, Shier-Chieg Huang, Ching-Mei Tsai, Yang-Kun Ou, Hsin-Hui Chan, Chen-Chiang Lin |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty bipolar hemiarthroplasty Arthroplasty Replacement Hip medicine.medical_treatment lcsh:Surgery Bipolar hemiarthroplasty elderly patients Demographic data Prosthesis Femoral Neck Fractures Survival outcome Blood loss Risk Factors mental disorders medicine Humans Operation time Austin-Moore hemiarthroplasty Survival rate Retrospective Studies Aged 80 and over femoral neck fracture business.industry Age Factors lcsh:RD1-811 Survival Analysis Surgery Treatment Outcome Female Hip Prosthesis business |
| Zdroj: | Scipedia Open Access Scipedia SL Asian Journal of Surgery, Vol 35, Iss 2, Pp 62-66 (2012) |
| Popis: | Summary Objectives Hemiarthroplasty is recommended for treatment of displaced femoral neck fractures in physically compromised elderly patients. The objective of this study was to analyze survivalof patients aged >80 years after the implantation of either an Austin-Moore type prosthesis or a bipolar bearing prosthesis. Methods An Austin-Moore or bipolar hemiarthroplasty was implanted into 120 patients aged >80 years. Demographic data were collected. Survival rate at 5 years and factors related to mortality were analyzed. Results Sixty-two patients received Austin-Moore hemiarthroplasty, and 58 received bipolar hemiarthroplasty. No significant differences in gender, comorbid conditions, ASA scores, duration of hospitalization, intraoperative blood loss, duration from injury to operation, or postoperative morbidity between the two groups were found. However, patients who received the Austin-Moore hemiarthroplasty were older and had shorter operation time than those who received bipolar hemiarthroplasty. Kaplan-Meier estimates of 5 years survival were 40.0% for patients who received Austin-Moore hemiarthroplasty, and 62.9% for patients who received bipolar hemiarthroplasty. Cox proportional hazard regression analysis of risks factors of death revealed that patients who underwent Austin-Moore hemiarthroplasty were 2.0-fold more likely to die when compared to those who received bipolar hemiarthroplasty. Conclusions Elderly patients who receive bipolar hemiarthroplasty may have a more favorable survival outcome when compared to those who receive unipolar hemiarthroplasty. |
| Databáze: | OpenAIRE |
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