PURPOSE To compare patients with or without intra-operative fracture during cementless bipolar hemiarthroplasty. METHODS Records of 76 men and 202 women who underwent cementless bipolar hemiarthroplasty for femoral neck fractures were reviewed. Patients with and without intra-operative fractures and patients with different types of intra-operative fractures were compared. RESULTS Two men an...

BACKGROUND Geriatric patients undergoing hemiarthroplasty for hip fractures have unacceptably high rates of postoperative complications and mortality. Whether anesthesia type can affect the outcomes has still been inconclusive. OBJECTIVES We compared general anesthesia (GA) and peripheral nerve blocks (PNBs) on postoperative complications and mortality in elderly patients with femoral neck fr...

Objective: To establish whether hip replacement or hemiarthroplasty is a superior treatment of displaced femoral neck fractures in a meta-analysis of prospective, randomized, controlled trials. Methods: A search of the orthopaedic literature was utilized to extract all randomized, controlled studies comparing total hip arthroplasty (THA) to hemiarthroplasty in elderly patients with displaced fe...

BACKGROUND AND PURPOSE There is no consensus on the treatment of proximal humerus fractures in the elderly. PATIENTS AND METHODS We conducted a systematic search of the medical literature for randomized controlled trials and controlled clinical trials from 1946 to Apr 30, 2014. Predefined PICOS criteria were used to search relevant publications. We included randomized controlled trials involv...

BACKGROUND We evaluated data from a clinical trial of first metatarsophalangeal joint (MTPJ1) implant hemiarthroplasty and arthrodesis to determine the association between patient factors and clinical outcomes. METHODS Patients ≥18 years with hallux rigidus grade 2, 3, or 4 were treated with synthetic cartilage implant MTPJ1 hemiarthroplasty or arthrodesis. Pain visual analog scale (VAS), Foo...

BACKGROUND Currently, arthrodesis is the most commonly performed surgical procedure for the treatment of severe arthritis of the first metatarsophalangeal joint. The objective of this study was to compare the long-term clinical and radiographic outcomes of a metallic hemiarthroplasty with those of arthrodesis for the treatment of this condition. METHODS A series of patients with osteoarthriti...

BACKGROUND AND PURPOSE Little attention has been paid to undisplaced femoral neck fractures. By using data from the Norwegian Hip Fracture Register, we investigated the risk of reoperation and the clinical outcome after treatment of these fractures in patients over 60 years of age. METHODS Data on 4,468 patients with undisplaced femoral neck fractures who were operated with screw osteosynthes...

Hallux rigidus (HR) is a progressive degenerative pathology affecting the first metatarsophalangeal joint. The aim of the present study is to report our experience on the treatment of HR patients with two different surgical methods: arthrodesis and hemiarthroplasty. Twelve patients (14 HR) underwent surgery for HR from July 2004 to October 2009. Median age was 58 years (Interquartile Range (IQR...

The four-part fracture complex described by Neer is a rare but severely disabling injury to the proximal humerus [18]. It is an injury which, while historically rare, has become increasingly more common as the population ages and remains physiologically active. This injury is specifically disabling when it involves the dominant arm. The severity of this injury is due to the associated vascular ...

BACKGROUND Displaced femoral neck fractures are common in the elderly patient. The surgical treatment options consist of a hemiarthroplasty (HA) or total hip arthroplasty (THA). However, the best surgical choice is still under debate. Bipolar HAs do not address preexisting arthritic changes of the acetabulum, which may lead to an unfavorable clinical outcome. The purpose of the present study wa...