[Early results of proximal femoral fractures treated with FENIX modular hemiarthroplasty].

Abstract

The article discusses preliminary clinical results in patients with proximal femoral fractures treated with hemiarthroplasty using a FENIX implant. The study group comprised 41 subjects aged 69 to 97 (median age 82.3 year). The follow-up study provided data on 26 subjects (63.4%), among which 15 attended the check-up, 5 subjects refused to visit at the Department and 6 subjects were reported as deceased. Median follow-up period amounted to 6.8 month (1 to 22 months). General hospitalization-related complications occurred in 8 patients (19.5%). During hospitalization no deaths occurred, in the deceased group 3 patients died within 12 months after surgery, while another 3 died after the twelve-month postoperative period (median of 13.3%). According to Merle d'Aubigne-Postel score favorable long-term results were observed in 9 patients (59.9%), 13 patients regained the level of motor function similar to the functional ability prior to fracture. The need to postpone the surgery due to general health status and impaired pre-operative motor function are significant negative prognostic factors. The results obtained were compared with previous efficacy studies on femoral fracture treatment using an Austin-Moore implant. Functional ability and self-reliance was higher in the FENIX group. FENIX arthroplasty effectively helps patients regain self-reliance and motor function thanks to its modular characteristics and anatmoical construction.

• Authors: Radosław Görski, Andrzej Górecki, Paweł Olszewski, Jerzy Biedrzycki, Paweł Skowronek
• Journal: Chirurgia narzadow ruchu i ortopedia polska (Chir Narzadow Ruchu Ortop Pol) 2010 Jan-Feb Vol. 75 Issue 1 Pg. 47-52 Poland
• Vernacular Title: Ocena wczesnych wyników leczenia złamań blizszego końca kości udowej modularna proteza połowicza FENIX.
• PMID: 20496778 (Publication Type: Journal Article)

Topics

• Aged
• Aged, 80 and over
• Arthroplasty, Replacement, Hip (instrumentation, methods)
• Bone Nails
• Bone Screws
• Female
• Femoral Neck Fractures (diagnostic imaging, surgery)
• Follow-Up Studies
• Fracture Fixation, Internal (methods)
• Fracture Fixation, Intramedullary (methods)
• Humans
• Internal Fixators
• Male
• Osteoporosis (surgery)
• Poland
• Prosthesis Design
• Radiography