ArticleActa orthopaedica2020
Mortality and revision rate of cemented and uncemented hemiarthroplasty after hip fracture: an analysis of the Dutch Arthroplasty Register (LROI).
Article in Acta orthopaedica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- A Discrepancy Between Evidence and Practice: Underuse of Cemented Hemiarthroplasty for Femoral Neck Fractures and Its Association With Surgeon Training Background.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Outcomes of Uncemented Hemiarthroplasty for Intracapsular Femoral Neck Fracture: A Retrospective Comparison of Trauma Fellowship-Trained Orthopaedists and Chief Resident Surgeons.The Iowa orthopaedic journal · 2026Article
- A Fragile Balance: Survival Analysis Following Bipolar Hemiarthroplasty in the Elderly.Indian journal of orthopaedics · 2025Article
- An Acta Orthopaedica educational article: Femoral neck fractures in adults with emphasis on surgical treatment.Acta orthopaedica · 2025Review
- Cardiopulmonary collapse in frail patients treated with cemented and uncemented hemiarthroplasty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Hemi-Versus Total Hip Arthroplasty in Femoral Neck Fractures? Predicting Failure on a 10-Year Data Analysis of the German Arthroplasty Registry (EPRD).Journal of clinical medicine · 2025Article
- Intracapsular and extracapsular fracture types and inpatient mortality in failed hemiarthroplasty.BMC musculoskeletal disorders · 2025Article
- Which factor is more associated with survival of patients with hip fracture over 90 years: Type of fracture or treatment modality?Northern clinics of Istanbul · 2024Article
- Incidence and treatment of intracapsular femoral neck fractures in Germany.Archives of orthopaedic and trauma surgery · 2023Article
- Bone Cement Implantation Syndrome: Incidence and Associated Factors in a United States Setting.Cureus · 2022Article
- A Comparison of Risks and Benefits Regarding Hip Arthroplasty Fixation.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- The Incidence of Bone Cement Implantation Syndrome Grade 3 in Hip and Knee Arthroplasty: A Retrospective Multicenter Case Series.JB & JS open accessArticle
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Authors and funding
4 authors.
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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.
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