Corail uncemented hemiarthroplasty with a Cathcart head for intracapsular hip fractures
2013
The National Institute for Health and Clinical
Excellence (NICE) guidelines from 2011 recommend the use of cemented
hemi-arthroplasty for appropriate patients with an intracapsular
hip fracture. In our institution all patients who were admitted
with an intracapsular hip fracture and were suitable for a hemi-arthroplasty
between April 2010 and July 2012 received an uncemented prosthesis
according to our established departmental routine practice. A retrospective
analysis of outcome was performed to establish whether the continued
use of an uncemented stem was justified. Patient, surgical and outcome
data were collected on the National Hip Fracture database. A total
of 306 patients received a Cathcart modular head on a Corail uncemented
stem as a hemi-arthroplasty. The mean age of the patients was 83.3
years (sd 7.56; 46.6 to 94) and 216 (70.6%) were women.
The mortality rate at 30 days was 5.8%. A total of 46.5% of patients
returned to their own home by 30 days, which increased to 73.2%
by 120 days. The implant used as a hemi-arthroplasty for intracapsular
hip fracture provided satisfactory results, with a good rate of
return to pre-injury place of residence and an acceptable mortality
rate. Surgery should be performed by those who are familiar with
the design of the stem and understand what is required for successful
implantation. Cite this article: Bone Joint J 2013;95-B:1538–43.
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