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dc.contributor.authorMenakaya, CUen
dc.contributor.authorShah, Men
dc.contributor.authorIngoe, Hen
dc.contributor.authorMalhotra, Ren
dc.contributor.authorMannan, Aen
dc.contributor.authorBoddice, Ten
dc.contributor.authorAllgar, Ven
dc.contributor.authorGopal, Sen
dc.contributor.authorMohsen, Aen
dc.contributor.authorMuthukumar, Nen
dc.date.accessioned2021-11-11T12:48:48Z
dc.date.available2021-11-11T12:48:48Z
dc.date.issued2021-08-11en
dc.identifier.urihttp://hdl.handle.net/10026.1/18319
dc.description.abstract

BACKGROUND: Dislocation following hip hemiarthroplasty is a major complication with increased mortality and morbidity. Data looking at dislocation following contemporary bipolar stems are lacking in literature. METHODS: Retrospective review of our prospective national hip fracture database over a two-year period. Group 1 comprised of consecutive patients receiving bipolar Furlong prosthesis (N222) while Group 2 was made up of a historical cohort (uncemented; N254). Clinical and radiological records were reviewed to determine dislocation rates, causes and associative factors of dislocations. Data were analysed using SPSS. RESULTS: Following 476 hemiarthroplasties performed during the study period, 12 (2.5%) dislocations were reported (eight in Group 1; four in Group 2). There was no significant difference in dislocation rates (3.6% vs 1.6%) between groups (p = 0.159). Subgroup analysis of Group 1 demonstrated a significant difference in dislocations with Furlong cemented (6%) as compared with Furlong uncemented (0%) hemiarthroplasties (p = 0.024). Following dislocation, death rates increased to 8.3% from 1.7% in both groups. CONCLUSION: There is a statistically significant increase in dislocation rate following use of cemented Furlong prosthesis when compared to similar uncemented prosthesis at the same treatment period. However, when compared to traditional uncemented prosthesis, there is no difference in dislocation rates.

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dc.format.extent17504589211020674 - ?en
dc.languageengen
dc.language.isoengen
dc.subjectOutcomesen
dc.subjectPatient safetyen
dc.subjectQuality of careen
dc.subjectResearch-quantitativeen
dc.subjectService improvementen
dc.subjectTrauma and orthopaedic surgeryen
dc.titleModern cemented Furlong hemiarthroplasty: Are dislocations rates better?en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/34380351en
plymouth.publication-statusPublished onlineen
plymouth.journalJ Perioper Practen
dc.identifier.doi10.1177/17504589211020674en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA01 Clinical Medicine
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEnglanden
dc.identifier.eissn2515-7949en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1177/17504589211020674en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.typeJournal Article/Reviewen


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