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DOI: 10.1055/s-2005-836622
© Georg Thieme Verlag Stuttgart · New York
Hemiarthroplasty for Displaced Intracapsular Femoral Neck Fractures
Publikationsverlauf
Publikationsdatum:
01. Dezember 2005 (online)
Abstract
Hemiarthroplasty still plays an irreplaceable role in the therapeutic algorithm of the treatment of displaced intracapsular femoral neck fractures. In elderly patients (over 80 years old), in a poorer general condition (ASA III and more), with low life activity, we prefer a cemented monoblock. In cases of biologically younger patients where the general or local condition does not allow performance of a total arthroplasty, a modular hemiarthroplasty with a replaceable head is indicated as it facilitates an easy conversion to total prosthesis in cases of erosion of the acetabulum. Of vital importance in all cases is the correct surgical technique, observing the relation between the head centre and the apex of the greater trochanter, i. e., the head centre has to be 1 to 2 mm below the apex of the greater trochanter. Of no less importance is the correct anteversion and suture of the capsule as a means of prevention of postoperative dislocation.
Key words
intracapsular femoral neck fractures - hemiarthroplasty - proximal femur fractures
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Prof. Jan BartoníčekMD, DSc
Orthopaedic Department · 3rd Faculty of Medicine · Charles University · Prague-Vinohrady
Šrobárova 50
10034 Prague 10
Czech Republic
Telefon: +4 20/2/67 16 27 16
Fax: +4 20/2/67 31 33 72
eMail: bartonic@fnkv.cz