No dislocations after primary hip arthroplasty with the dual mobility cup in displaced femoral neck fracture in patients with dementia. A one-year follow-up in 20 patients
Purpose: The aim of this study was to describe the dislocation rates, reoperation rates and mortality 30 day and one year following THA with AVANTAGE® dual mobility cup among dementia patients with an acute displaced intracapsular femoral neck fracture. Patients and methods: From 2010 to 2...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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EDP Sciences
2017-01-01
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| Series: | SICOT-J |
| Subjects: | |
| Online Access: | https://doi.org/10.1051/sicotj/2016050 |
| _version_ | 1819176668743335936 |
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| author | Graversen Anders Elneff Jakobsen Stig Storgaard Kristensen Pia Kjær Thillemann Theis Muncholm |
| author_facet | Graversen Anders Elneff Jakobsen Stig Storgaard Kristensen Pia Kjær Thillemann Theis Muncholm |
| author_sort | Graversen Anders Elneff |
| collection | DOAJ |
| description | Purpose: The aim of this study was to describe the dislocation rates, reoperation rates and mortality 30 day and one year following THA with AVANTAGE® dual mobility cup among dementia patients with an acute displaced intracapsular femoral neck fracture.
Patients and methods: From 2010 to 2014 we identified 20 hip fracture patients with dementia, who have had total hip arthroplasty with the AVANTAGE® dual mobility cup. The primary outcome was dislocation. Secondary outcomes were revision surgery, 30 days and one year mortality, time to surgery and length of hospital stay.
Results: Follow-up time was one year. None of the patients experienced dislocation or received revision surgery in the follow-up period. The 30-days mortality rate was 25% (confidence interval (CI) 95%; 4–46%) and the one year mortality was 45% (CI 95%; 21–69). Mean time to surgery was 27 h (CI 95%; 20–37 h) and mean length of hospital stay was 5.5 days (CI 95%; 4, 0–7, 6 days).
Conclusion: THA with the dual-mobility cup seems favourable in the treatment of patients with a displaced femoral neck fracture and patients with dementia. Correct placement of the cup is pivotal and technically demanding. Not all orthopedic surgeons perform total hip arthroplasty while challenges regarding the logistics can be encountered since time to surgery is known to affect the mortality negatively. |
| first_indexed | 2024-12-22T21:14:25Z |
| format | Article |
| id | doaj.art-a8cc679a59514788a489afb76a1d29ce |
| institution | Directory Open Access Journal |
| issn | 2426-8887 |
| language | English |
| last_indexed | 2024-12-22T21:14:25Z |
| publishDate | 2017-01-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | SICOT-J |
| spelling | doaj.art-a8cc679a59514788a489afb76a1d29ce2022-12-21T18:12:25ZengEDP SciencesSICOT-J2426-88872017-01-013910.1051/sicotj/2016050sicotj160115No dislocations after primary hip arthroplasty with the dual mobility cup in displaced femoral neck fracture in patients with dementia. A one-year follow-up in 20 patientsGraversen Anders ElneffJakobsen Stig StorgaardKristensen Pia KjærThillemann Theis MuncholmPurpose: The aim of this study was to describe the dislocation rates, reoperation rates and mortality 30 day and one year following THA with AVANTAGE® dual mobility cup among dementia patients with an acute displaced intracapsular femoral neck fracture. Patients and methods: From 2010 to 2014 we identified 20 hip fracture patients with dementia, who have had total hip arthroplasty with the AVANTAGE® dual mobility cup. The primary outcome was dislocation. Secondary outcomes were revision surgery, 30 days and one year mortality, time to surgery and length of hospital stay. Results: Follow-up time was one year. None of the patients experienced dislocation or received revision surgery in the follow-up period. The 30-days mortality rate was 25% (confidence interval (CI) 95%; 4–46%) and the one year mortality was 45% (CI 95%; 21–69). Mean time to surgery was 27 h (CI 95%; 20–37 h) and mean length of hospital stay was 5.5 days (CI 95%; 4, 0–7, 6 days). Conclusion: THA with the dual-mobility cup seems favourable in the treatment of patients with a displaced femoral neck fracture and patients with dementia. Correct placement of the cup is pivotal and technically demanding. Not all orthopedic surgeons perform total hip arthroplasty while challenges regarding the logistics can be encountered since time to surgery is known to affect the mortality negatively.https://doi.org/10.1051/sicotj/2016050ArthroplastyDementiaDislocationsDual mobility cupFemoral neck fracture |
| spellingShingle | Graversen Anders Elneff Jakobsen Stig Storgaard Kristensen Pia Kjær Thillemann Theis Muncholm No dislocations after primary hip arthroplasty with the dual mobility cup in displaced femoral neck fracture in patients with dementia. A one-year follow-up in 20 patients SICOT-J Arthroplasty Dementia Dislocations Dual mobility cup Femoral neck fracture |
| title | No dislocations after primary hip arthroplasty with the dual mobility cup in displaced femoral neck fracture in patients with dementia. A one-year follow-up in 20 patients |
| title_full | No dislocations after primary hip arthroplasty with the dual mobility cup in displaced femoral neck fracture in patients with dementia. A one-year follow-up in 20 patients |
| title_fullStr | No dislocations after primary hip arthroplasty with the dual mobility cup in displaced femoral neck fracture in patients with dementia. A one-year follow-up in 20 patients |
| title_full_unstemmed | No dislocations after primary hip arthroplasty with the dual mobility cup in displaced femoral neck fracture in patients with dementia. A one-year follow-up in 20 patients |
| title_short | No dislocations after primary hip arthroplasty with the dual mobility cup in displaced femoral neck fracture in patients with dementia. A one-year follow-up in 20 patients |
| title_sort | no dislocations after primary hip arthroplasty with the dual mobility cup in displaced femoral neck fracture in patients with dementia a one year follow up in 20 patients |
| topic | Arthroplasty Dementia Dislocations Dual mobility cup Femoral neck fracture |
| url | https://doi.org/10.1051/sicotj/2016050 |
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