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hemiarthroplasty of hip

Indications: - patients with multiple comorbidities* * fewer complications & risks than with total hip arthroplasty Procedure: - hemiarthoplasty of hip replaces head of femur & leaves acetabulum - cemented hemiarthroplasty results in modest but better quality of life & lower risk of periprosthetic fracture than uncemented hemiarthroplasty in adults > 60 years with intracapsular hip fracture [4] Complications: - total hip arthroplasty vs hemiarthroplasty have similar reoperation rates after 2 years [2]

Related

total hip arthroplasty/replacement (THA, THR)

General

hemiarthroplasty

References

  1. Genova A. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
  2. The HEALTH Investigators Sprague S, Frihagen F, Guerra-Farfan E et al Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture. N Engl J Med. Sept 26, 2019 PMID: 31557429 https://www.nejm.org/doi/full/10.1056/NEJMoa1906190
  3. Pass B, Nowak L, Eschbach D et al Differences of hemiarthroplasty and total hip replacement in orthogeriatric treated elderly patients: a retrospective analysis of the Registry for Geriatric Trauma DGU . Eur J Trauma Emerg Surg (2021) PMID: 33392623 https://link.springer.com/article/10.1007/s00068-020-01559-y
  4. Fernandez MA, Achten J, Parsons N et al Cemented or Uncemented Hemiarthroplasty for Intracapsular Hip Fracture. N Engl J Med 2022; 386:521-530 PMID: 35139272 https://www.nejm.org/doi/full/10.1056/NEJMoa2108337 - Rogmark C How to Fill the Void - Bone Cement in Hemiarthroplasty. N Engl J Med 2022; 386:594-595 PMID: 35139278 https://www.nejm.org/doi/full/10.1056/NEJMe2119282