Prosthesis survivorship and clinical outcome of the Austin Moore hemiarthroplasty: An 8-year mean follow-up of a consecutive series of 500 patients
| Autor: | Alan R. Norrish, Janardhan Rao, Martyn J. Parker |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Time Factors Arthroplasty Replacement Hip medicine.medical_treatment Constant pain Prosthesis Design Prosthesis Survivorship curve Humans Medicine Frail elderly Aged General Environmental Science Aged 80 and over Austin-moore prosthesis Series (stratigraphy) Hip fracture Hip Fractures business.industry Middle Aged medicine.disease Prosthesis Failure Surgery Treatment Outcome Orthopedic surgery General Earth and Planetary Sciences Female Hip Prosthesis business Follow-Up Studies |
| Zdroj: | Injury. 37:734-739 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2006.01.043 |
| Popis: | Summary The results of a consecutive series of 500 patients treated with Austin Moore hemiarthroplasty prosthesis are reported. The range of follow-up was from 5–12 years and the mean was 8 years. Only 10 patients were lost to follow-up and 398 (81%) patients died within the follow-up period. The mean age of the patient population was 82 years, and 85% were women. The cumulative survivorship of the prosthesis was calculated at 94% (95% CI 90–96%) at 5 years and 83% (95% CI 65–94%) at 12 years. A total of 66 secondary operations of any type were required in 46 (9%) patients. Revision of the Austin Moore prosthesis was performed in 23 cases (5%). Of the long-term survivors contacted for follow-up, 66 (81%) had no pain or minimal pain, whilst 5 (6%) reported constant pain in the hip. The revision rates in our series were higher for younger patients, those from their own home and with good pre-fracture mobility and mental function. For the frail elderly with a displaced intracapsular fracture this prosthesis can still be recommended. This paper presents the largest consecutive series, with the longest follow-up, currently available. |
| Databáze: | OpenAIRE |
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