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

Chir Narzadow Ruchu Ortop Pol. 2010 Jan-Feb;75(1):47-52.
[Article in Polish]

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.

MeSH terms

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