Mortality and revision rate of cemented and uncemented hemiarthroplasty after hip fracture: an analysis of the Dutch Arthroplasty Register (LROI).

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  • Additional Information
    • Affiliation:
      Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen
      Foundation for Orthopaedic Research, Care and Education, Amphia Hospital, Breda
      Dutch Arthroplasty Register, Landelijke Registratie Orthopedische Implantaten (LROI), 's Hertogenbosch
      Department of Orthopaedic Surgery, Amphia Hospital, Breda, The Netherlands
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background and purpose — Femoral neck fractures are commonly treated with cemented or uncemented hemiarthroplasties (HA). We evaluated differences in mortality and revision rates in this fragile patient group. Patients and methods — From January 1, 2007 until December 31, 2016, 22,356 HA procedures from the Dutch Arthroplasty Register (LROI) were included. For each HA, follow-up until death, revision, or end of follow-up (December 31, 2016) was determined. The crude revision rate was determined by competing risk analysis. Multivariable Cox regression analyses were performed to evaluate the effect of fixation method (cemented vs. uncemented) on death or revision. Age, sex, BMI, Orthopaedic Data Evaluation Panel (ODEP) rating, ASA grade, surgical approach, and previous surgery were included as potential confounders. Results — 1-year mortality rates did not differ between cemented and uncemented HA. 9-year mortality rates were 53% (95% CI 52–54) in cemented HA compared to 56% (CI 54–58) in uncemented HA. Multivariable Cox regression analysis showed similar mortality between cemented and uncemented HA (HR 1.0, CI 0.96–1.1). A statistically significantly lower 9-year revision rate of 3.1% (CI 2.7–3.6) in cemented HA compared with 5.1% (CI 4.2–6.2) in the uncemented HA was found with a lower hazard ratio for revision in cemented compared with uncemented HA (HR 0.56, CI 0.47–0.67). Interpretation — Long-term mortality rates did not differ between patients with a cemented or uncemented HA after an acute femoral neck fracture. Revision rates were lower in cemented compared with uncemented HA.
    • Journal Subset:
      Allied Health; Biomedical; Continental Europe; Europe; Peer Reviewed
    • ISSN:
      1745-3674
    • MEDLINE Info:
      NLM UID: 101231512
    • Publication Date:
      20200911
    • Publication Date:
      20200911
    • DOI:
      10.1080/17453674.2020.1752522
    • Accession Number:
      145302463
  • Citations
    • ABNT:
      DUIJNISVELD, B. J. et al. Mortality and revision rate of cemented and uncemented hemiarthroplasty after hip fracture: an analysis of the Dutch Arthroplasty Register (LROI). Acta Orthopaedica, [s. l.], v. 91, n. 4, p. 408–413, 2020. DOI 10.1080/17453674.2020.1752522. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=145302463. Acesso em: 28 out. 2020.
    • AMA:
      Duijnisveld BJ, Koenraadt KLM, van Steenbergen LN, Bolder SBT. Mortality and revision rate of cemented and uncemented hemiarthroplasty after hip fracture: an analysis of the Dutch Arthroplasty Register (LROI). Acta Orthopaedica. 2020;91(4):408-413. doi:10.1080/17453674.2020.1752522
    • APA:
      Duijnisveld, B. J., Koenraadt, K. L. M., van Steenbergen, L. N., & Bolder, S. B. T. (2020). Mortality and revision rate of cemented and uncemented hemiarthroplasty after hip fracture: an analysis of the Dutch Arthroplasty Register (LROI). Acta Orthopaedica, 91(4), 408–413. https://doi.org/10.1080/17453674.2020.1752522
    • Chicago/Turabian: Author-Date:
      Duijnisveld, Bouke J, Koen L M Koenraadt, Liza N van Steenbergen, and Stefan B T Bolder. 2020. “Mortality and Revision Rate of Cemented and Uncemented Hemiarthroplasty after Hip Fracture: An Analysis of the Dutch Arthroplasty Register (LROI).” Acta Orthopaedica 91 (4): 408–13. doi:10.1080/17453674.2020.1752522.
    • Harvard:
      Duijnisveld, B. J. et al. (2020) ‘Mortality and revision rate of cemented and uncemented hemiarthroplasty after hip fracture: an analysis of the Dutch Arthroplasty Register (LROI)’, Acta Orthopaedica, 91(4), pp. 408–413. doi: 10.1080/17453674.2020.1752522.
    • Harvard: Australian:
      Duijnisveld, BJ, Koenraadt, KLM, van Steenbergen, LN & Bolder, SBT 2020, ‘Mortality and revision rate of cemented and uncemented hemiarthroplasty after hip fracture: an analysis of the Dutch Arthroplasty Register (LROI)’, Acta Orthopaedica, vol. 91, no. 4, pp. 408–413, viewed 28 October 2020, .
    • MLA:
      Duijnisveld, Bouke J., et al. “Mortality and Revision Rate of Cemented and Uncemented Hemiarthroplasty after Hip Fracture: An Analysis of the Dutch Arthroplasty Register (LROI).” Acta Orthopaedica, vol. 91, no. 4, Aug. 2020, pp. 408–413. EBSCOhost, doi:10.1080/17453674.2020.1752522.
    • Chicago/Turabian: Humanities:
      Duijnisveld, Bouke J, Koen L M Koenraadt, Liza N van Steenbergen, and Stefan B T Bolder. “Mortality and Revision Rate of Cemented and Uncemented Hemiarthroplasty after Hip Fracture: An Analysis of the Dutch Arthroplasty Register (LROI).” Acta Orthopaedica 91, no. 4 (August 2020): 408–13. doi:10.1080/17453674.2020.1752522.
    • Vancouver/ICMJE:
      Duijnisveld BJ, Koenraadt KLM, van Steenbergen LN, Bolder SBT. Mortality and revision rate of cemented and uncemented hemiarthroplasty after hip fracture: an analysis of the Dutch Arthroplasty Register (LROI). Acta Orthopaedica [Internet]. 2020 Aug [cited 2020 Oct 28];91(4):408–13. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=145302463