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  • Necementna hemiartroplastika pri zlomu stegneničnega vratu. Zakaj ne? : novo modularno samovrezno steblo izboljšuje rezultate necementnih hemiartroplastik = Uncemented hemiarthroplasty for a fracture of the femoral neck. Why not? : A new modular self-tapping stem has improved the results of uncemented hemiarthroplasties
    Andoljšek, Matej ; Rjazancev, Boris
    Background. Uncemented hemiarthroplasty (HA) was found inferior to cemented HAin patients with a fracture of the femoral neck. A new modular self-tapping uncemented stem was used to improve the ... results of uncemented HA. In retrospective study of the two consecutive groups of patient the authors asked, whether the new stem has improved the results of uncemented hemiarthroplasty. Methods. In 72 fractures the new uncemented stem (Group - 1)and in 68 fractures cemented stem (Group - 2) were used. Between the two groups there were no significant differences in demographic characteristics, complications rates, rehabilitation efficiency, hospital stay and 3-, 6- as well as 12-months mortality. 82 patients (35 Group - 1, 47 Group - 2) have already died. Two patients, one from each group, were lost for follow-up. 56 patients (36 Group - 1,20 Group - 2) were questioned about pain and mobility. 56 fulfilled questionnaires were analysed according to Sikorski-Barrington's scale. Results. At a mean follow-up of 27+-10 months, 11 out of 36 patients from uncemented group were pain-free (grade 1), 13 had occasional and mild pain and did not need analgesics (grade 2), 8 had constant or occasional severe pain requiring analgesic occasionally (grade 3), and 4 patients had constant and severe pain requiring regular analgesics (grade 4). Correspondingfigures for 20 patients from the cemented group were 6, 12, 1, and 1, but at a longer mean follow-up of 54+-12 months. After exclusion of 7 chair- and bed-bound patients (6 Group - 1, 1 Group - 2) from the analysis, the pain scores of the two studied groups were comparable with a median at grade 2 (p = 0.1816, Wilcoxon two-sample test), and the proportion of patientswith pain (pain grade >1) was almost equal (70% versus 68.6%).(Abstract truncated at 2000 characters)
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 68, št. 2, feb. 1999, str. 79-83)
    Vrsta gradiva - članek, sestavni del
    Leto - 1999
    Jezik - slovenski
    COBISS.SI-ID - 9630937

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