Postoperative Periprosthetic Fractures in Hip Fracture Patients: Exeter vs Anatomic SP2 Lubinus Stem
NCT ID: NCT03326271
Last Updated: 2019-10-24
Study Results
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Basic Information
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COMPLETED
2527 participants
OBSERVATIONAL
2016-05-04
2017-10-11
Brief Summary
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Patients and Methods In a multicentre retrospective cohort study 2529 patients 60 years and above, with a FNF as indication for primary surgery with a cemented hip arthroplasty were included. Patients were treated either with a polished tapered Exeter stem or a matte anatomic Lubinus SP12 stem according to the surgeons preference or to the praxis of the present department.
The incidence of perprosthetic femoral fractures Hip-related complications and repeat surgery were assessed at a minimum follow-up of 2 years postoperatively.
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Detailed Description
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Conditions
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Study Design
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COHORT
RETROSPECTIVE
Study Groups
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Lubinus SP2 stem
Patients treated with a cemented Lubinus SP2 stem for a femoral neck fracture. Both total hip arthroplasty and hemiarthroplasty are included.
Lubinus SP2 stem
Patients treated with an total or hemiarthroplasty using a SP2stem for a displaced femoral neck fracture
Exeter stem
Patients treated with a cemented Exeter stem for a femoral neck fracture. Both total hip arthroplasty and hemiarthroplasty are included.
Exeter stem
Patients treated with an total or hemiarthroplasty using a Exeter stem for a displaced femoral neck fracture
Interventions
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Exeter stem
Patients treated with an total or hemiarthroplasty using a Exeter stem for a displaced femoral neck fracture
Lubinus SP2 stem
Patients treated with an total or hemiarthroplasty using a SP2stem for a displaced femoral neck fracture
Eligibility Criteria
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Inclusion Criteria
* Treated with hip arthroplasty with Exeter or SP2 stem
Exclusion Criteria
* Other typ of stem
60 Years
ALL
No
Sponsors
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Sunderby Hospital
OTHER
Karolinska Institutet
OTHER
Sundsvall Hospital
OTHER
Responsible Party
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References
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Inngul C, Enocson A. Postoperative periprosthetic fractures in patients with an Exeter stem due to a femoral neck fracture: cumulative incidence and surgical outcome. Int Orthop. 2015 Sep;39(9):1683-8. doi: 10.1007/s00264-014-2570-0. Epub 2014 Oct 24.
Mukka S, Mellner C, Knutsson B, Sayed-Noor A, Skoldenberg O. Substantially higher prevalence of postoperative peri-prosthetic fractures in octogenarians with hip fractures operated with a cemented, polished tapered stem rather than an anatomic stem. Acta Orthop. 2016 Jun;87(3):257-61. doi: 10.3109/17453674.2016.1162898. Epub 2016 Apr 4.
Broden C, Mukka S, Muren O, Eisler T, Boden H, Stark A, Skoldenberg O. High risk of early periprosthetic fractures after primary hip arthroplasty in elderly patients using a cemented, tapered, polished stem. Acta Orthop. 2015 Apr;86(2):169-74. doi: 10.3109/17453674.2014.971388. Epub 2014 Oct 3.
Mardian S, Perka C, Schaser KD, Gruner J, Scheel F, Schwabe P. Cardiac disease and advanced age increase the mortality risk following surgery for periprosthetic femoral fractures. Bone Joint J. 2017 Jul;99-B(7):921-926. doi: 10.1302/0301-620X.99B7.BJJ-2016-0974.R1.
Mellner C, Mohammed J, Larsson M, Esberg S, Szymanski M, Hellstrom N, Chang C, Berg HE, Skoldenberg O, Knutsson B, Morberg P, Mukka S. Increased risk for postoperative periprosthetic fracture in hip fracture patients with the Exeter stem than the anatomic SP2 Lubinus stem. Eur J Trauma Emerg Surg. 2021 Jun;47(3):803-809. doi: 10.1007/s00068-019-01263-6. Epub 2019 Nov 18.
Other Identifiers
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Multicenter_PPF
Identifier Type: -
Identifier Source: org_study_id
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