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Total, hemi, or dua...
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Cnudde, P. H. J.Swedish Arthroplasty Register, Vastra Gotaland Ctr Registers, Gothenburg, Sweden.;Gothenburg Univ, Dept Orthopaed, Sahlgrenska Akad, Gothenburg, Sweden.;Hywel Dda Univ Hlth Board, Dept Orthopaed, Llanelli, Wales.,Sahlgrenska Academy
(författare)
Total, hemi, or dual-mobility arthroplasty for the treatment of femoral neck fractures in patients with neurological disease analysis of 9,638 patients from the swedish hip arthroplasty register
- Artikel/kapitelEngelska2022
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BRITISH EDITORIAL SOC BONE & JOINT SURGERY,2022
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Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-477760
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-477760URI
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https://doi.org/10.1302/0301-620X.104B1.BJJ-2021-0855.R1DOI
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https://lup.lub.lu.se/record/8b7ecbf1-9e7e-441c-950d-05d5f0d5a480URI
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Språk:engelska
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Sammanfattning på:engelska
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Aims The aim of this study was to investigate the potentially increased risk of dislocation in patients with neurological disease who sustain a femoral neck fracture, as it is unclear whether they should undergo total hip arthroplasty (THA) or hemiarthroplasty (HA). A secondary aim was to investgate whether dual-mobility components confer a reduced risk of dislocation in these patients. Methods We undertook a longitudinal cohort study linking the Swedish Hip Arthroplasty Register with the National Patient Register, including patients with a neurological disease presenting with a femoral neck fracture and treated with HA, a conventional THA (cTHA) with femoral head size of <= 32 mm, or a dual-mobility component THA (DMC-THA) between 2005 and 2014. The dislocation rate at one- and three-year revision, reoperation, and mortality rates were recorded. Cox multivariate regression models were fitted to calculate adjusted hazard ratios (HRs). Results A total of 9,638 patients with a neurological disease who also underwent unilateral arthroplasty for a femoral neck fracture were included in the study. The one-year dislocation rate was 3.7% after HA, 8.8% after cTHA < 32 mm), 5.9% after cTHA (= 32 mm), and 2.7% after DMC-THA. A higher risk of dislocation was associated with cTHA (< 32 mm) compared with HA (HR 1.90 (95% confidence interval (CI) 1.26 to 2.86); p = 0.002). There was no difference in the risk of dislocation with DMC-THA (HR 0.68 (95% CI 0.26 to 1.84); p = 0.451) or cTHA (= 32 mm) (HR 1.54 (95% CI 0.94 to 2.51); p = 0.083). There were no differences in the rate of reoperation and revision-free survival between the different types of prosthesis and sizes of femoral head. Conclusion Patients with a neurological disease who sustain a femoral neck fracture have similar rates of dislocation after undergoing HA or DMC-THA. Most patients with a neurological disease are not eligible for THA and should thus undergo HA, whereas those eligible for THA could benefit from a DMC-THA.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Natman, J.Swedish Arthroplasty Register, Vastra Gotaland Ctr Registers, Gothenburg, Sweden.;Swedish Hip Arthroplasty Register, Gothenburg, Sweden.
(författare)
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Hailer, NilsUppsala universitet,Ortopedi,Swedish Arthroplasty Register, Vastra Gotaland Ctr Registers, Gothenburg, Sweden.;Swedish Hip Arthroplasty Register, Orthopaed, Gothenburg, Sweden.,Uppsala University Hospital(Swepub:uu)nilha837
(författare)
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Rogmark, C.Lund University,Lunds universitet,Ortopedi,Forskargrupper vid Lunds universitet,Orthopedics,Lund University Research Groups,Swedish Hip Arthroplasty Register(Swepub:lu)med-car
(författare)
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Swedish Arthroplasty Register, Vastra Gotaland Ctr Registers, Gothenburg, Sweden.;Gothenburg Univ, Dept Orthopaed, Sahlgrenska Akad, Gothenburg, Sweden.;Hywel Dda Univ Hlth Board, Dept Orthopaed, Llanelli, Wales.Sahlgrenska Academy
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:The Bone & Joint Journal: BRITISH EDITORIAL SOC BONE & JOINT SURGERY104B:1, s. 134-1412049-43942049-4408
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