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The Archives of Bone and Joint Surgery، جلد ۱۱، شماره ۹، صفحات ۵۸۲-۵۸۷

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عنوان انگلیسی Uncemented Hemiarthroplasty in Displaced Femoral Neck Fractures is associated with Higher Perioperative Surgical Complications but Lower Medical Complications: Analysis from the National Inpatient Database
چکیده انگلیسی مقاله Objectives: This study aimed to analyze and compare the perioperative outcomes of cemented and uncemented hemiarthroplasty in elderly patients with displaced femoral neck fractures by utilizing the data from the National Inpatient Sample database.Methods: Data from the National Inpatient Sample Database was analyzed to identify patients who underwent hemiarthroplasty following a displaced femoral neck fracture (cemented and uncemented. Demographic data, comorbidities, length of stay, total charges, and perioperative complications were analyzed.Results: 27390 patients were identified in the cemented group and 29406 in the uncemented group. The patients who underwent uncemented hemiarthroplasty demonstrated a higher incidence of prosthetic dislocation (Odds Ratio (OR) 3.348, p < 0.001), periprosthetic mechanical complications (OR 2.597, p < 0.001), wound dehiscence (OR 2.883, p < 0.001), superficial surgical site infection (OR 2.396, p = 0.043), deep surgical site infection (OR 1.686, p < 0.001), and periprosthetic fractures (OR 2.292, p < 0.001) as compared with patients who underwent cemented hemiarthroplasty. However, patients with uncemented fixation demonstrated a lower incidence of death (OR 0.567, p < 0.001), pulmonary embolism (OR 0.565, p < 0.001), deep vein thrombosis (DVT) (OR 0.746, p < 0.001), myocardial infarction (OR 0.772, p = 0.025) and blood loss anemia (OR 0.869, p < 0.001) as compared with cemented fixation. Conclusion: Our study on displaced femoral neck fractures utilizing the National Inpatient database found that uncemented hemiarthroplasty was associated with a higher incidence of perioperative surgical complications. Cemented hemiarthroplasty, however, was associated with a statistically significant higher rate of death, pulmonary embolism, deep vein thrombosis, and myocardial infarction. Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Cemented, femoral fixation, Hemiarthroplasty, peri-operative complications, uncemented

نویسندگان مقاله | Prabhudev Prasad Purudappa
Orthopedic Resident, Boston Medical Center, Boston University, Boston, MA, USA


| Zachary Berliner
Orthopedic Resident, Boston Medical Center, Boston University, Boston, MA, USA


| Nikit Venishetty
Paul L. Foster School of Medicine, Texas Tech Health Sciences Center,El Paso, Texas, USA


| Vikram Aggarwal
University of Texas Southwestern, Dallas, Texas, USA


| Philip Serbin
University of Texas Southwestern, Dallas, Texas, USA


| Varatharaj Mounasamy
Dallas VA medical center, Dallas, USA


| Senthil Sambandam
Dallas VA medical center, Dallas, USA



نشانی اینترنتی https://abjs.mums.ac.ir/article_22852.html
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نوع مقاله منتشر شده RESEARCH PAPER
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