Morriss Felix, Battle Joseph M, Varma Jonny, Shaheen Ahmed M M, Barnfield Steven, French Jonathan M R, Kelly Michael
Southmead Hospital, Bristol, UK.
Addenbrooke's Hospital, Cambridge University Hospitals, UK.
Geriatr Orthop Surg Rehabil. 2025 May 13;16:21514593251332462. doi: 10.1177/21514593251332462. eCollection 2025.
Hemiarthroplasty is the primary treatment for displaced intracapsular hip fractures in frail patients. Implant selection is crucial to reduce reoperations, which carry a high complication risk. This study reports on reoperations, mortality, revisions, and patient-reported outcome measures (PROMs) following the use of the JRI (Joint Replacement Instrumentation Limited) Furlong Cemented Hemiarthroplasty prosthesis.
We undertook a retrospective cohort study at a major trauma centre in the United Kingdom. All intracapsular neck of femur patients aged over 60 who underwent cemented hip hemiarthroplasty with the JRI Furlong femoral stem over a 5 year period from January 2018 to December 2022 were included. The primary outcome measure was reoperation, including closed reduction of dislocation. Secondary outcome measures were dislocation specifically, revision, mortality and PROMs.
1183 patients in the study period (793 female, 390 male) with an average age of 84.3 were followed up to 6 years. For a subset of patients, PROMs were recorded at 4 months (n = 237) and 3 years (n = 215). The reoperation rate at 1 year was 1.13% (95% CI 0.64% to 1.99%), increasing to 1.62% (95% CI 0.95% to 2.75%) at 5 years. The 5-year revision rate was 0.68% (95% CI 0.39% to 1.55%); 5-year dislocation rate was 0.87% (95% CI 0.45% to 1.67%). Mean EQ5D utility score was 0.621 at 4 months and 0.603 at 3 years for those alive.
Our cohort shows low re-operation, revision and dislocation rates in the mid-term. We describe acceptable PROMS in the context of a frail population.
半髋关节置换术是体弱患者囊内髋部骨折移位的主要治疗方法。植入物的选择对于减少再次手术至关重要，再次手术具有较高的并发症风险。本研究报告了使用JRI（关节置换器械有限公司）弗隆骨水泥半髋关节置换假体后的再次手术、死亡率、翻修率以及患者报告的结局指标（PROMs）。
我们在英国一家主要创伤中心进行了一项回顾性队列研究。纳入了2018年1月至2022年12月期间所有年龄超过60岁、使用JRI弗隆股骨干进行骨水泥型髋关节半置换术的股骨颈囊内骨折患者。主要结局指标是再次手术，包括脱位的闭合复位。次要结局指标分别是脱位、翻修、死亡率和PROMs。
研究期间有1183例患者（793例女性，390例男性），平均年龄84.3岁，随访长达6年。对于一部分患者，在4个月时记录了PROMs（n = 237），在3年时记录了PROMs（n = 215）。1年时的再次手术率为1.13%（95%CI 0.64%至1.99%），5年时增至1.62%（95%CI 0.95%至2.75%）。5年翻修率为0.68%（95%CI 0.39%至1.55%）；5年脱位率为0.87%（95%CI 0.45%至1.67%）。存活患者在4个月时的平均EQ5D效用评分为0.621，在3年时为0.603。
我们的队列显示中期再次手术、翻修和脱位率较低。我们描述了在体弱人群背景下可接受的PROMs。
