Techniques for cemented hemiarthroplasty

Q4 Medicine
Joel Lim Wei-An, John AF Charity
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引用次数: 0

Abstract

With an ageing population, hip fractures are a progressively worsening global burden that impact both the patient and healthcare systems. More than half of hip fractures are intracapsular and the majority of them are treated with arthroplasty surgery for pain relief and restoration of mobility. For most hip fracture patients, who are generally older and frail, the aim of the surgeon is to provide treatment with the lowest possible mortality, complication and revision rates, coupled with improved health-related quality of life. Registry data show more favourable outcomes with cemented rather than cementless hemiarthroplasty in this challenging patient group. This article describes the techniques for cementing the femur during a hemiarthroplasty to recreate the patient's anatomy, as well as how to perform safe cementing techniques to reduce the risk of cement related complications.

骨水泥半关节成形术的技术
随着人口老龄化的加剧,髋部骨折已成为一个逐渐恶化的全球性负担,对患者和医疗系统都造成了影响。半数以上的髋部骨折为髋臼内骨折,其中大多数通过关节置换手术来缓解疼痛和恢复活动能力。对于大多数年老体弱的髋部骨折患者来说,外科医生的目标是提供死亡率、并发症和翻修率尽可能低的治疗,同时改善与健康相关的生活质量。登记数据显示,在这一具有挑战性的患者群体中,骨水泥半关节成形术比无骨水泥半关节成形术的疗效更佳。本文介绍了半关节成形术中的股骨骨水泥技术,以再现患者的解剖结构,以及如何执行安全的骨水泥技术以降低骨水泥相关并发症的风险。
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来源期刊
Orthopaedics and Trauma
Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine
CiteScore
1.00
自引率
0.00%
发文量
57
期刊介绍: Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.
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