Cemented Dual Mobility Cup for Primary Total Hip Arthroplasty in Elder Patients with High-Risk Instability
Abstract
:1. Introduction
2. Materials and Methods
2.1. Surgical Procedure
2.2. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Age ≥ 70 Years (Women) or ≥75 Years (Men) |
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Previous surgery of the hip; acetabular osteotomy, proximal femoral osteotomy, failed hip osteosynthesis. |
Base diagnosis; hip dysplasia, femoral neck fracture, avascular necrosis of femoral head, inflammatory arthritis, proximal femoral tumors. |
Neuromuscular disease; epilepsy, cerebral palsy, polio sequelae, Parkinson’s and myopathies |
Cognitive dysfunction; dementia, Alzheimer’s, alcoholism |
ASA score ≥ 3 |
Revisions of primary arthroplasty |
Participants | n = 68 Patients |
---|---|
Age (years (SD)) | 81.7 (6.4) |
Sex (Female/Male) | 53/15 |
Right/Left | 39/29 |
ASA (Grade (%)) | I 0%; II 27.94%; III 63.24%; IV 8.82% |
Dislocation Risk factors | Two factors: 9 Three factors: 59 |
Morse Fall Scale | Low risk: 7 Intermediate risk: 36 High risk: 25 |
Complications (3/68) | Superficial wound infection: 2 Aseptic loosening; 1 Dislocations: 0 |
Follow-up (mean (SD)) | 49.04 months (22.6) |
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Lamo-Espinosa, J.M.; Gómez-Álvarez, J.; Gatica, J.; Suárez, Á.; Moreno, V.; Díaz de Rada, P.; Valentí-Azcárate, A.; Alfonso-Olmos, M.; San-Julián, M.; Valentí-Nin, J.R. Cemented Dual Mobility Cup for Primary Total Hip Arthroplasty in Elder Patients with High-Risk Instability. Geriatrics 2021, 6, 23. https://doi.org/10.3390/geriatrics6010023
Lamo-Espinosa JM, Gómez-Álvarez J, Gatica J, Suárez Á, Moreno V, Díaz de Rada P, Valentí-Azcárate A, Alfonso-Olmos M, San-Julián M, Valentí-Nin JR. Cemented Dual Mobility Cup for Primary Total Hip Arthroplasty in Elder Patients with High-Risk Instability. Geriatrics. 2021; 6(1):23. https://doi.org/10.3390/geriatrics6010023
Chicago/Turabian StyleLamo-Espinosa, José María, Jorge Gómez-Álvarez, Javier Gatica, Álvaro Suárez, Victoria Moreno, Pablo Díaz de Rada, Andrés Valentí-Azcárate, Matías Alfonso-Olmos, Mikel San-Julián, and Juan Ramón Valentí-Nin. 2021. "Cemented Dual Mobility Cup for Primary Total Hip Arthroplasty in Elder Patients with High-Risk Instability" Geriatrics 6, no. 1: 23. https://doi.org/10.3390/geriatrics6010023