Cemented versus non-cemented hemiarthroplasty of the hip as a treatment for a displaced femoral neck fracture: design of a randomised controlled trial
| Autor: | Sander Koëter, Dieu-Donné Niesten, Roeland Riedijk, Taco Gosens, Willard J. Rijnberg, Anne J H Vochteloo, Stefan B T Bolder, Peter Pilot, Keetie Kremers van de Hei |
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| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Time Factors Sports medicine Endpoint Determination medicine.medical_treatment Arthroplasty Replacement Hip Femoral Neck Fractures law.invention Study Protocol Rheumatology Randomized controlled trial Foreign-Body Migration law Activities of Daily Living Outcome Assessment Health Care medicine Operation time Humans Orthopedics and Sports Medicine Complication rate Femoral neck Aged Clinical Trials as Topic Pain Postoperative business.industry Femur Neck Age Factors Bone Cements Prostheses and Implants Arthroplasty Surgery Radiography medicine.anatomical_structure Treatment Outcome Research Design Orthopedic surgery Quality of Life Female lcsh:RC925-935 business |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 10, Iss 1, p 56 (2009) |
| ISSN: | 1471-2474 |
| Popis: | Background A discussion is ongoing whether displaced femoral neck fractures in elderly patients should be treated with a non-cemented or a cemented hemiarthroplasty. A recent Cochrane analysis stresses the importance of further research into the relative merits of these techniques. We hypothesise that non-cemented hemiarthroplasty will result in at least the same technical-functional outcome and complication rate, with a shorter operation time. Methods and design A randomised controlled multicentre trial will be performed. The study population consists of 200 patients of 70 years and older. Patients with a displaced femoral neck fracture will be allocated randomly to have a cemented or a non-cemented hemiarthroplasty. Data will be collected preoperatively, immediately postoperatively, and 6 weeks, 3 months and 1 year postoperatively. The main outcome measures of this study are technical-functional results of the hemiarthroplasty, duration of surgery, complications, and mid-thigh pain. Secondary outcome measures are living conditions at final follow up, self-reported health-related quality of life, and radiological evaluation of the hemiarthroplasty. Conclusion A recent Cochrane analysis did not find arguments in favour of either non-cemented or cemented hemiarthroplasty. The forthcoming trial will compare treatment for a displaced femoral neck fracture by cemented versus non-cemented hemiarthroplasty. Our results will be published as soon as they become available. Trial Registration Trial Registration Number NTR1508 |
| Databáze: | OpenAIRE |
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