Ono Nelson Keiske, de Andrade Lima Guilherme Didier, Honda Emerson Kiyoshi, Polesello Giancarlo Cavalli, Guimarães Rodrigo Pereira, Júnior Walter Ricioli, de Queiroz Marcelo Cavalheiro
PhD from FCMSCSP. Assistant Professor and Head of the Hip Group, ISCMSP.
Orthopedist and Trainee in the Hip Group, ISCMSP.
Rev Bras Ortop. 2015 Nov 17;45(4):382-8. doi: 10.1016/S2255-4971(15)30384-0. eCollection 2010 Jul-Aug.
To epidemiologically and clinically evaluate patients with displaced femoral neck fractures that were surgically treatment with cemented hip hemiarthroplasty.
All patients with displaced femoral neck fractures (Garden III and IV) who underwent cemented hip hemiarthroplasty using a unipolar prosthesis (Thompson), by means of a posterolateral access between June 2005 and September 2008 were retrospectively evaluated.
Seventy patients were initially evaluated. Their mean age was 83.1 years. The patients were predominantly female (84.3%). Thirty-six patients were monitored as outpatients for periods ranging from 10 to 48 months (mean of 26.5 months). Fifteen patients were lost to follow-up. Nineteen patients died, and the mortality rate within the first year was 25.4%. Patients classified as ASA III had a mortality rate of 25.7% and ASA II patients, a rate of 12.1%. Two patients had symptomatic deep vein thrombosis; one patient had an operative wound infection; and none of the patients presented hip dislocation. Most of the patients did not experience pain. Twelve patients (33%) showed deterioration of their walking ability.
There were no cases of hip dislocation. Patients classified as ASA III had a higher mortality rate than did patients with ASA I or II. There was a worsening of walking ability in 33% of the patients. No revision due to loosening or pain was needed for any patient. Thirty patients did not present any pain (83.3%), four presented moderate pain (11.1%) and two presented intense pain (5.5%).
对采用骨水泥型半髋关节置换术手术治疗的移位型股骨颈骨折患者进行流行病学和临床评估。
回顾性评估2005年6月至2008年9月期间，采用单极假体（汤普森）通过后外侧入路行骨水泥型半髋关节置换术治疗的所有移位型股骨颈骨折（Garden III型和IV型）患者。
最初评估了70例患者。他们的平均年龄为83.1岁。患者以女性为主（84.3%）。36例患者作为门诊患者接受了10至48个月（平均26.5个月）的监测。15例患者失访。19例患者死亡，第一年死亡率为25.4%。ASA III级患者的死亡率为25.7%，ASA II级患者的死亡率为12.1%。2例患者出现有症状的深静脉血栓形成；1例患者发生手术伤口感染；无患者出现髋关节脱位。大多数患者无疼痛。12例患者（33%）行走能力下降。
无髋关节脱位病例。ASA III级患者的死亡率高于ASA I级或II级患者。33%的患者行走能力恶化。无患者因松动或疼痛需要翻修。30例患者无疼痛（83.3%），4例患者有中度疼痛（11.1%），2例患者有剧烈疼痛（5.5%）。
