Orthopaedic department, Sundsvall hospital
Sundsvall, Västernorrland County, 851 86, Sweden
NCT Number: NCT02131987
Between January 1 2006 and December 31 2013, at our department 324 patients underwent hemiarthroplasty (HA) for displaced femoral-neck fracture with a bipolar prosthesis (Variokopf, Link®, Germany) by the use of the posteriolateral approach. Patients with pathological fractures and HA performed with direct lateral approach were excluded. A retrospective cohort study were conducted. Patients with prosthetic dislocation formed one group and patients without dislocation formed the control group.
As standard, post surgery radiographs (anteroposterior and lateral) were taken. After these were performed patient started weight bearing as soon as possible. Clinical data regarding patient demographics, details of the surgical procedure and the medical comorbidities were collected by the use of patient and operative records. Radiological analysis with position evaluation was performed using the post surgery radiographs by measuring Wiberg angle, inequality of leg length and femoral offset of the prostheses and compared with non-operated hip joint using the post surgery x-ray images.
Our hypothesis were that patients with single- or recurrent dislocations had shortened postoperative leg length, decreased femoral offsed and a Wiberg angle less than 25 degrees.
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Notify Me60 year and older
All sexes
Observational
Sundsvall, Västernorrland County, 851 86, Sweden
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Time frame: 6 months up to 7 years
The femoral offset is measured on the postoperative X-ray. The result are compared between the groups of dislocated and non-dislocated patients.
Time frame: 6 months to 7 years
Leg length difference is measured on the postoperative X-ray. The result are compared between the groups of dislocated and non-dislocated patients.
Time frame: 6 months to 7 years
Wiberg angle is measured on the postoperative X-ray. The result are compared between the groups of dislocated and non-dislocated patients.
Time frame: one year
Sundsvall Hospital
Other
Radiological Riskfactors for Dislocation of Hip Hemiarthroplasty Through a Posterolateral Approach as Treatment for Femoral Neck Fracture
Acronym: RRDHHR
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