scholarly journals Dual mobility versus unipolar total hip arthroplasty for neck of femur fractures: a single centre study

2021 ◽  
Vol 87 (1) ◽  
pp. 35-39
Author(s):  
Zain Sadozai ◽  
Richard Limb ◽  
Syed Awais Bokhari ◽  
Aaron Ng ◽  
Manjit Bhamra
Keyword(s):  
P Value ◽  
National Guidelines ◽  
Acetabular Cup ◽  
Single Centre ◽  
Neck Of Femur ◽  
Dual Mobility ◽  
Total Hip ◽  
Femur Fractures ◽  
Dual Mobility Cups ◽  
The Cost

Current national guidelines (NICE) recommends that all medically fit, independently-mobile patients without cognitive impairment receive a total hip arTHAoplasty(THA) for displaced intracapsular neck of femur (NOF) fractures. Dislocation is a concern(2-10%). Dual mobility cups have been suggested to address this complication. Our study sets out to compare dislocation rates between dual mobility cups versus unipolar cups. We performed a retrospective single centre multiple surgeon study of all THAs performed for NOFs between January 2012 and May 2018. A total of 322 total hip replacements (127 dual mobility and 195 unipolar ; Age range of patients, 29 to 91, mean 70 years) were identified for analysis using a database. Data was obtained from electronic patient records and radiographs. 12 patients sustained a dislocation of their THA out of our 322 patients. Of these, 10 dislocations occurred in the unipolar group (5.13%). From the dual mobility cups, 2 had dislocations(1.57%), both with a 28mm head. Both of these dislocations were in alcohol dependent patients with increased susceptibility to falls. Statistical analysis of our data was performed using chi-squared test (p value = 0.0723) In ‘Getting It Right First Time’ (GIRFT), the authors recommend that all patients that sustain a NOF fracture meeting the criteria of a THA to be offered a dual mobility acetabular cup to reduce the risk of dislocation. The cost of the dual mobility acetabular cup is offset from the cost of overall revision surgery. Limitations of our study are its retrospective nature and selection bias.

scholarly journals Dual mobility total hip arthroplasty for salvaging failed internal fixation for neck of femur fractures

2020 ◽  
Vol 27 (1) ◽  
pp. 68-71
Author(s):  
Jatinder Singh Luthra ◽  
Suwailim Al Ghannami ◽  
Salim Al Habsi ◽  
Soubhik Ghosh
Keyword(s):  
Total Hip Arthroplasty ◽  
Internal Fixation ◽  
Hip Fractures ◽  
Hip Arthroplasty ◽  
Harris Hip Score ◽  
Neck Of Femur ◽  
Dual Mobility ◽  
Wound Debridement ◽  
Total Hip ◽  
Femur Fractures

Internal fixation is commonly used to treat fractures in the hip. However, failure of proximal femoral fracture fixation is common and treated with total hip replacement (THR). The aim of this study is to present our midterm results of dual mobility (DM) THR for failed internal fixation of proximal femur fractures. Between 2010 and 2015, a total of 28 cases of failed internal fixation for hip fractures were treated through DM total hip arthroplasty. Two patients died during the early postoperative period due to medical complications. The average follow-up was 3.4 years. We had one patient with superficial surgical site infection which was managed by local wound debridement and dressings. The average Harris hip score was 85. DM THR is the procedure of choice for revising failed internal fixation for hip fractures in our patients with good clinical outcome.

scholarly journals The Neck of Femur Fracture in an Elderly Patient with Schizophrenia and Parkinsonism Managed with Dual Mobility Total Hip Replacement – A Rare Case Report

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Neetin P. Mahajan ◽  
Lalkar Laxman Gadod ◽  
Ajay S. Chandanwale ◽  
Prasanna Kumar G. S ◽  
Mrugank Narvekar ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Femur Fracture ◽  
Dual Mobility Cup ◽  
Neck Of Femur ◽  
Dual Mobility ◽  
Total Hip ◽  
Femur Fractures ◽  
The Right ◽  
Neck Of Femur Fracture

Introduction: Neck of femur fractures is the most common fractures in elderly people as they present with osteoporosis. There is a higher chance of proximal femur fracture in a schizophrenic patient as there is a loss of bone mineral density due to a drug-induced increase in the level of prolactin and immobility. Patients with Parkinson’s disease were at higher risk for the development of hip fractures due to gait disturbances and instability. Case Report: A 63-year-old male patient presented with complaints of the right arm pain, swelling, deformity of the right arm, and difficulty in extending the wrist for 3 days. The patient had a history of falls and trauma to the left arm at home. X-ray right arm showed distal one-third spiral humerus fracture for which intramedullary nailing was done. X-ray of the pelvis with both hips showed right neck of femur fracture with associated greater trochanter (GT) fracture. We managed with total hip replacement using a dual mobility cup and tension band wiring for GT fracture. Postoperatively, the patient has a good range of motion at the hip. The functional outcome is good as per Harris’s hip score. Conclusion: Neck femur fractures in elderly patients with associated comorbidities such as schizophrenia and parkinsonism are best managed with total hip replacement using a dual mobility cup. It avoids the risk of dislocation in high-risk patients and prevents secondary procedures. Careful clinical and radiological examination of the pelvis is very essential even in asymptomatic patients with a history of trauma to prevent delayed diagnosis of these types of fractures in patients with schizophrenia and parkinsonism. Keywords: Neck of femur fracture, Parkinsonism, schizophrenia, dual mobility cup, total hip replacement.

scholarly journals Analysis of total hip arthroplasty for displaced intracapsular neck of femur fractures in a tertiary referral trauma centre

Injury Extra ◽  
2012 ◽  
Vol 43 (10) ◽  
pp. 105
Author(s):  
Z. Gamie ◽  
J. Neale ◽  
D. Shields ◽  
J. Claydon ◽  
S. Hazarika ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Trauma Centre ◽  
Tertiary Referral ◽  
Neck Of Femur ◽  
Total Hip ◽  
Femur Fractures

Revision total hip arthroplasty with a Kerboull plate: comparative outcomes using standard versus dual mobility cups

2018 ◽  
Vol 43 (10) ◽  
pp. 2245-2251 ◽  
Author(s):  
Chahine Assi ◽  
Jacques Caton ◽  
Wissam Fawaz ◽  
Camille Samaha ◽  
Kaissar Yammine
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Total Hip Arthroplasty ◽  
Dual Mobility ◽  
Total Hip ◽  
Dual Mobility Cups
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