Acta Ortopédica Mexicana

Reyna-Olivera G, Harb-Peña EJ
Clinical and X-ray comparison between a reamed versus an unreamedacetabulum in hip hemiarthroplasty
Acta Ortop Mex 2005; 19 (s1)

Language: Inglés
References: 20
Page: 34-37
PDF: 41.71 Kb.

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ABSTRACT

Every year about 20,000 people suffer hip fractures in Mexico. A high proportion of these fractures is resolved by hip hemiarthroplasty. Purpose: to clinically and radiologically compare a reamed versus an unreamed acetabulum in this kind of surgery. Material and methods: All patients, 66 in total, having undergone a hip hemiarthroplasty between January 1987 and December 1996 were assessed. Of these 66 patients, 25 were treated with acetabular reaming and 41 without reaming. Results: there were no clinically (Harris) or radiologically (Sotelo-Garza and Charnley) significant differences at six weeks, six months, one year, two year, or three years (p=0.06). The mean Harris testing score improved over time in both groups. The results according to the fracture location showed that the more proximal the fracture was, the better the outcome in both groups. Discussion: these results are significant as only patients with the proper indication and good surgical technique were included with the understanding that the main purpose was to assess pain and acetabular erosion caused by the implant.


Key words: acetabulum, arthroplasty, hip, X-ray.


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