ArticleActa orthopaedica2020
Postoperative 30-day complications after cemented/hybrid versus cementless total hip arthroplasty in osteoarthritis patients > 70 years.
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 21 papers.
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Who cites it
21 citing papers in PubMed, 43 citations in OpenAlex.
- Early Outcomes of a Novel Collared Triple-Tapered Femoral System in Primary Total Hip Arthroplasty.Medicina (Kaunas, Lithuania) · 2026Article
- Cemented total hip arthroplasty reduces early complications: a Japanese nationwide propensity-matched study.Archives of orthopaedic and trauma surgery · 2026Article
- Comparison of Uncemented and Hybrid Hip Arthroplasty: Protocol for a Brazilian Randomized Controlled Trial.JMIR research protocols · 2026Article
- Cemented versus cementless cup fixation in total hip arthroplasty for proximal femoral fractures: analysis of revision and mortality rates from the German arthroplasty registry (EPRD).Journal of orthopaedic surgery and research · 2025Article
- Is osteoporosis a contraindication for cementless total hip arthroplasty in younger patients? A matched cohort analysis of 71,578 patients.Journal of orthopaedics · 2025Article
- Antibacterial hydrogel coating is associated with lower complication risks after complex high-risk primary and cementless hip revision arthroplasty : a retrospective matched cohort study.Bone & joint open · 2025Article
- The short-term outcomes of cementless collared triple-tapered stem for primary total hip arthroplasty in patients ≥70-years old.Journal of orthopaedics · 2025Article
- Review
- The cemented stem in hip arthroplasty - state of the art technique and recommendations.EFORT open reviews · 2024Review
- Total Hip Arthroplasty Outcomes are Improved When Cement is Used for Femoral Fixation in Elderly Patients?Arthroplasty today · 2024Article
- Difference in early all-cause mortality among patients having hip arthroplasty a Swedish perioperative registry study 2013-2022.Journal of orthopaedic surgery and research · 2024Article
- Fracture pattern and risk factors for reoperation after treatment of 156 periprosthetic fractures around an anatomic cemented hip stem.Acta orthopaedica · 2023Article
- Long-term survival of hybrid total hip replacement for prior failed proximal femoral nail antirotation: a retrospective study with a median 10-year follow-up.BMC musculoskeletal disorders · 2022Observational
- TOTAL HIP ARTHROPLASTY IN THE PUBLIC HEALTH SYSTEM OF SÃO PAULO: COMPARING TYPES OF FIXATION.Acta ortopedica brasileira · 2022Article
- Design and Fabrication of a Customized Partial Hip Prosthesis Employing CT-Scan Data and Lattice Porous Structures.ACS omega · 2021Article
- Effect of Observation of Shou Hui Tong Bian Capsule (Polygonum Multiflorum and Aloe-Based Herbal Capsule for Cathartic Effect) in Rapid Rehabilitation of Joint Surgery.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Venous thromboembolism in patients hospitalized for knee joint replacement surgery.Scientific reports · 2020Article
- Fascia iliaca compartment block for analgesia in total hip replacement: A randomized controlled study protocol.Medicine · 2020Article
- Timing and Tips for Total Hip Arthroplasty in a Critically Ill Patient With Coronavirus Disease 2019 and a Femoral Neck Fracture.Arthroplasty today · 2020Article
- The influence of femoral component design on postoperative periprosthetic femoral fracture after uncemented direct anterior total hip arthroplasty in the elderly.Journal of orthopaedicsArticle
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - The use of cementless total hip arthroplasty (THA) in elderly patients is debated because of increased risk of early periprosthetic femoral fractures. However, cemented femoral components carry a risk of bone cement implantation syndrome. Hence, we compared in-hospital complications, complications leading to readmission and mortality ≤ 30 days postoperatively between hybrid/cemented (cemented femoral component) vs. cementless THA in osteoarthritis patients > 70 years.Patients and methods - This is a prospective observational cohort study in 9 centers from January 2010 to August 2017. We used 30-day follow-up from the Danish National Patient Registry, patient records, and data from the Danish Hip Arthroplasty Register. Only THAs performed as a result of osteoarthritis were included.Results - 3,368 (42%) of the THAs were cemented/hybrid and 4,728 (58%) cementless. The in-hospital complication risk was 7.7% after cemented/hybrid vs. 5.3% after cementless THA (< 0.001), statistically not significant when adjusting for comorbidities (p = 0.1). There were similar risks of complications causing readmission (5.7% vs. 6.2%) and mortality ≤ 30 days (0.2% vs. 0.3%). 15 cases (0.4%) of pulmonary embolism (PE) were found after cemented/hybrid vs. 4 (0.1%) after cementless THA (p = 0.001); none occurred within 24 hours postoperatively. 2 of the PEs after cementless THA led to mortality. Cemented/hybrid THA remained significantly associated with risk of PE (RR 3.9, p = 0.02), when adjusting for comorbidities. BMI > 35 was associated with highest risk of PE (RR 5.7, p = 0.003). The risk of periprosthetic femoral fracture was 0.2% after cemented/hybrid vs. 1.5% after cementless THA (p < 0.001) and the risk of dislocations was 1.2% after cemented/hybrid THA vs. 1.8% after cementless THA (p = 0.04).Interpretation - The higher risk of PE after cemented/hybrid THA and higher risk of periprosthetic femoral fractures and dislocations after cementless THA highlights that both medically and surgically complications are related to fixation technique and have to be considered.
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