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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1987-5-14
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pubmed:abstractText |
A prospective study of displaced femoral neck fractures was conducted with patients randomized into three groups: cemented total hip replacement (THR), cemented hemiarthroplasty (UHR-C), and noncemented hemiarthroplasty (UHR-NC). Eighty-nine patients were treated for displaced (Garden type 3 or 4) fracture with a prosthesis; 39 patients had THR, 37 had UHR-C, and 13 had UHR-NC. No difference was found in the level of pain, ambulation, or aids required between the THR group and the UHR-C group, except for active community ambulators, who demonstrated decreased endurance capability when treated with UHR-C. The patients treated with UHR-NC had increased pain and decreased ambulation and required assistive devices. The most significant complication was dislocation, which occurred in 7 patients with THR and 2 with UHR-C. The mortality rate at 2 years was 18%; all but two of the deaths were in patients with one of five different medical diseases: clinically significant cardiac or pulmonary disease, cancer, alcoholism, or psychosis. The mortality rate was insignificant in patients younger than 70 years of age. Roentgenographic review showed only 2 of 76 cemented stems with progressive cement-bone demarcation, with one patient requiring revision for a loose prosthesis. No evidence of protrusio was seen with the use of the bipolar cap. The uncemented hemiarthroplasties demonstrated lucency between the metal and bone in the proximal femur in 9 of 13 stems. The authors make recommendations regarding hip replacement.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0883-5403
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
21-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3559574-Adult,
pubmed-meshheading:3559574-Aged,
pubmed-meshheading:3559574-Aged, 80 and over,
pubmed-meshheading:3559574-Arthroplasty,
pubmed-meshheading:3559574-Bone Cements,
pubmed-meshheading:3559574-Female,
pubmed-meshheading:3559574-Femoral Neck Fractures,
pubmed-meshheading:3559574-Hip Prosthesis,
pubmed-meshheading:3559574-Humans,
pubmed-meshheading:3559574-Locomotion,
pubmed-meshheading:3559574-Male,
pubmed-meshheading:3559574-Middle Aged,
pubmed-meshheading:3559574-Postoperative Complications,
pubmed-meshheading:3559574-Prospective Studies,
pubmed-meshheading:3559574-Reoperation
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pubmed:year |
1986
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pubmed:articleTitle |
Treatment of femoral neck fractures with total hip replacement versus cemented and noncemented hemiarthroplasty.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
|