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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2025; 60(01): s00441792099
DOI: 10.1055/s-0044-1792099
Artigo Original

Hip Hemiarthroplasty in Patients with Multiple Myeloma: A Retrospective Case Series and Review of the Literature

Article in several languages: português | English
Ahmed Nageeb Mahmoud 
1   Departamento de Cirurgia Ortopédica, Geisinger Medical Center, Danville, PA, Estados Unidos
2   Departamento de Cirurgia Ortopédica, Ain Shams University, Cairo, Egito
,
Alejandro Ordas-Bayon 
3   Departamento de Cirurgia Ortopédica, Hospital Universitario Ramon y Cajal, Madri, Espanha
,
Catherine Mary Doyle 
1   Departamento de Cirurgia Ortopédica, Geisinger Medical Center, Danville, PA, Estados Unidos
,
Maria F. Echeverry-Martinez 
1   Departamento de Cirurgia Ortopédica, Geisinger Medical Center, Danville, PA, Estados Unidos
,
Daniel S. Horwitz 
1   Departamento de Cirurgia Ortopédica, Geisinger Medical Center, Danville, PA, Estados Unidos
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Abstract

Objectives Femoral neck fractures in multiple myeloma patients are usually managed with hemiarthroplasty or total hip arthroplasty, depending on the presence of acetabular infiltration. Due to the paucity of dedicated studies, the aim of the present study is to review the clinical outcomes of hip hemiarthroplasty in patients with multiple myeloma and to review the literature regarding the outcomes and survival in these patients' subset.

Methods There were 15 patients (16 cases), with a mean age of 71.7 years, who had myeloma and received hip hemiarthroplasty for displaced femoral neck fractures had their radiographs and clinical data assessed for this study. From those, 13 cases received bipolar and 3 unipolar hemiarthroplasty.

Results After a mean follow-up of 18.2 months since the time of surgery, 3 cases suffered periprosthetic fractures (18.75%), 4 cases (25%) had heterotopic ossification, and 1 case (6.25%) had acetabular erosion. The 1- and 5-year patient mortality rates for the study cohort were 53.3 and 73.3%, respectively.

Conclusion Hip hemiarthroplasty remains a viable treatment option in myeloma patients; however, the potentially high morbidity and mortality in these patients should be sensibly understood before the surgery to achieve satisfactory expectations.

Keywords

femoral neck - hemiarthroplasty - hip fractures - multiple myeloma

Financial Support

The authors declare that the did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.


Work carried out at the Department of Orthopedic Surgery, Geisinger Medical Center, Danville, PA, USA.




Publication History

Received: 19 February 2024

Accepted: 30 August 2024

Article published online:
16 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Ahmed Nageeb Mahmoud, Alejandro Ordas-Bayon, Catherine Mary Doyle, Maria F. Echeverry-Martinez, Daniel S. Horwitz. Hemiartroplastia de quadril em pacientes com mieloma múltiplo: Uma série de casos retrospectivos e revisão da literatura. Rev Bras Ortop (Sao Paulo) 2025; 60: s00441792099.
DOI: 10.1055/s-0044-1792099
 

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