Royal Berkshire NHS Foundation Trust, London Road, Reading RG1 5AN, UK.
Bone Joint J. 2013 Nov;95-B(11):1538-43. doi: 10.1302/0301-620X.95B11.31609.
The National Institute for Health and Clinical Excellence (NICE) guidelines from 2011 recommend the use of cemented hemi-arthroplasty for appropriate patients with an intracapsular hip fracture. In our institution all patients who were admitted with an intracapsular hip fracture and were suitable for a hemi-arthroplasty between April 2010 and July 2012 received an uncemented prosthesis according to our established departmental routine practice. A retrospective analysis of outcome was performed to establish whether the continued use of an uncemented stem was justified. Patient, surgical and outcome data were collected on the National Hip Fracture database. A total of 306 patients received a Cathcart modular head on a Corail uncemented stem as a hemi-arthroplasty. The mean age of the patients was 83.3 years (SD 7.56; 46.6 to 94) and 216 (70.6%) were women. The mortality rate at 30 days was 5.8%. A total of 46.5% of patients returned to their own home by 30 days, which increased to 73.2% by 120 days. The implant used as a hemi-arthroplasty for intracapsular hip fracture provided satisfactory results, with a good rate of return to pre-injury place of residence and an acceptable mortality rate. Surgery should be performed by those who are familiar with the design of the stem and understand what is required for successful implantation.
2011 年，英国国家卫生与临床优化研究所（NICE）指南建议，对于合适的囊内髋关节骨折患者，使用骨水泥半髋关节置换术。在我们医院，2010 年 4 月至 2012 年 7 月期间，所有符合半髋关节置换术条件的囊内髋关节骨折患者都根据我们既定的部门常规使用非骨水泥假体。我们对结果进行了回顾性分析，以确定继续使用非骨水泥假体是否合理。我们在国家髋关节骨折数据库中收集了患者、手术和结果数据。共有 306 例患者接受了 Cathcart 模块化头和 Corail 非骨水泥柄的半髋关节置换术。患者的平均年龄为 83.3 岁（标准差 7.56；46.6 至 94），216 例（70.6%）为女性。30 天死亡率为 5.8%。46.5%的患者在 30 天内返回自己的家，120 天内这一比例增加到 73.2%。该假体用于囊内髋关节骨折的半髋关节置换术取得了令人满意的结果，返回受伤前居住地的比例较高，死亡率也可接受。手术应由熟悉假体设计并了解成功植入所需条件的医生来进行。
