Parker, J Bone Joint Surg Br 2010 - Cemented versus Uncemented Hemiarthroplasty for Intracapsular Hip Fractures: A Randomised Controlled Trial in 400 Patients

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Cemented versus Uncemented Hemiarthroplasty for Intracapsular Hip Fractures: A Randomised Controlled Trial in 400 Patients

Parker, Gurusamy, et al.·J Bone Joint Surg Br·2010·159 citations·RCT

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We undertook a prospective randomised controlled trial involving 400 patients with a displaced intracapsular fracture of the hip to determine whether there was any difference in outcome between treatment with a cemented Thompson hemiarthroplasty and an uncemented Austin-Moore prosthesis. The surviving patients were followed up for between two and five years by a nurse blinded to the type of prosthesis used. The mean age of the patients was 83 years (61 to 104) and 308 (77%) were women. The degree of residual pain was less in those treated with a cemented prosthesis (p < 0.0001) three months after surgery. Regaining mobility was better in those treated with a cemented implant (p = 0.005) at six months after operation. No statistically significant difference was found between the two groups with regard to mortality, implant-related complications, re-operations or post-operative medical complications. The use of a cemented Thompson hemiarthroplasty resulted in less pain and less deterioration in mobility than an uncemented Austin-Moore prosthesis with no increase in complications.

Copyright remains with the authors and publisher.

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Cemented versus Uncemented Hemiarthroplasty for Intracapsular Hip Fractures: A Randomised Controlled Trial in 400 Patients

Parker, Gurusamy, et al.·J Bone Joint Surg Br·2010·159 citations·RCT

|

We undertook a prospective randomised controlled trial involving 400 patients with a displaced intracapsular fracture of the hip to determine whether there was any difference in outcome between treatment with a cemented Thompson hemiarthroplasty and an uncemented Austin-Moore prosthesis. The surviving patients were followed up for between two and five years by a nurse blinded to the type of prosthesis used. The mean age of the patients was 83 years (61 to 104) and 308 (77%) were women. The degree of residual pain was less in those treated with a cemented prosthesis (p < 0.0001) three months after surgery. Regaining mobility was better in those treated with a cemented implant (p = 0.005) at six months after operation. No statistically significant difference was found between the two groups with regard to mortality, implant-related complications, re-operations or post-operative medical complications. The use of a cemented Thompson hemiarthroplasty resulted in less pain and less deterioration in mobility than an uncemented Austin-Moore prosthesis with no increase in complications.

Copyright remains with the authors and publisher.

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