Subsidence of Cementless Stem Following Arthroplasty for Fracture Neck of Femur
NCT ID: NCT05670717
Last Updated: 2023-01-04
Study Results
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Basic Information
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UNKNOWN
50 participants
OBSERVATIONAL
2023-02-01
2024-07-01
Brief Summary
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Detailed Description
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THA is associated with better functional outcomes and a lower risk of revision surgery in self-sufficient, physically active patients , Instability is the leading complication of conventional THA and occurs with a higher incidence ,THA remains the option of choice as it provides better functional outcomes.
Although the clinical outcomes of total hip arthroplasty (THA) in elderly patients with femoral neck fracture were reported to be better than hemiarthroplasty, hemiarthroplasty was frequently recommended in cases where the patient has a low functional level and/or osteoporosis and high rates of postoperative dislocation of total hip arthroplasty.
Hip joint replacement surgery is considered one of the most successful operations due to its high success and low complication rate , one possible risk factor for early failure of total hip arthroplasty (THA) is the subsidence of the femoral stem , Cementless THA in particular could be susceptible to subsidence.
Cementless femoral stems ideally achieve direct integration between the stem surface and endosteal bone with the aim of decreasing the incidence of aseptic loosening.
Subsidence is defined as a distalization of the femoral stem in reference to the greater trochanter.
Measurement of subsidence of uncemented femoral stems can be used to evaluate the likelihood of long term stem component loosening and therefore clinical failure .
Conditions
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Study Design
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OTHER
RETROSPECTIVE
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
80 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Amgad Rasmy Moreed Gerges
principal investigator (resident doctor)
Central Contacts
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References
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Guyen O. Hemiarthroplasty or total hip arthroplasty in recent femoral neck fractures? Orthop Traumatol Surg Res. 2019 Feb;105(1S):S95-S101. doi: 10.1016/j.otsr.2018.04.034. Epub 2018 Nov 16.
Burgers PT, Van Geene AR, Van den Bekerom MP, Van Lieshout EM, Blom B, Aleem IS, Bhandari M, Poolman RW. Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis and systematic review of randomized trials. Int Orthop. 2012 Aug;36(8):1549-60. doi: 10.1007/s00264-012-1569-7. Epub 2012 May 24.
Leiss F, Gotz JS, Meyer M, Maderbacher G, Reinhard J, Parik L, Grifka J, Greimel F. Differences in femoral component subsidence rate after THA using an uncemented collarless femoral stem: full weight-bearing with an enhanced recovery rehabilitation versus partial weight-bearing. Arch Orthop Trauma Surg. 2022 Apr;142(4):673-680. doi: 10.1007/s00402-021-03913-0. Epub 2021 May 21.
Mazoochian F, Schrimpf FM, Kircher J, Mayer W, Hauptmann S, Fottner A, Muller PE, Pellengahr C, Jansson V. Proximal loading of the femur leads to low subsidence rates: first clinical results of the CR-stem. Arch Orthop Trauma Surg. 2007 Aug;127(6):397-401. doi: 10.1007/s00402-007-0384-x. Epub 2007 Jun 30.
Parvizi J, Keisu KS, Hozack WJ, Sharkey PF, Rothman RH. Primary total hip arthroplasty with an uncemented femoral component: a long-term study of the Taperloc stem. J Arthroplasty. 2004 Feb;19(2):151-6. doi: 10.1016/j.arth.2003.10.003.
Ries C, Boese CK, Dietrich F, Miehlke W, Heisel C. Femoral stem subsidence in cementless total hip arthroplasty: a retrospective single-centre study. Int Orthop. 2019 Feb;43(2):307-314. doi: 10.1007/s00264-018-4020-x. Epub 2018 Jun 18.
Al-Najjim M, Khattak U, Sim J, Chambers I. Differences in subsidence rate between alternative designs of a commonly used uncemented femoral stem. J Orthop. 2016 Jul 5;13(4):322-6. doi: 10.1016/j.jor.2016.06.026. eCollection 2016 Dec.
Hoskins W, Webb D, Bingham R, Pirpiris M, Griffin XL. Evidence based management of intracapsular neck of femur fractures. Hip Int. 2017 Sep 19;27(5):415-424. doi: 10.5301/hipint.5000519. Epub 2017 Sep 11.
Other Identifiers
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Subsidence of Cementless Stem
Identifier Type: -
Identifier Source: org_study_id
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