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Review articleOpen Access

Early Mobility Following Hip Fracture Surgery with Furlong Bipolar Hemiarthroplasty-Cemented Versus Hydroxyapatite Coated Uncemented Prostheses

Volume 2 - Issue 1

Shah Jehan1*, Marek Parkola2, Javed Salim3, Susan Wilcockson4 and Thomas Foulstone5

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    • 1Specialty Trainee Trauma and Orthopaedic Surgery, Hull Royal Infirmary, UK
    • 2Foundation Year 2 Doctor, Trauma and Orthopaedic Surgery
    • 3Consultant Trauma and Orthopaedic Surgery
    • 4Senior Clinical Specialist Physiotherapist for Orthopaedics
    • 5Senior Clinical Specialist

    *Corresponding author: Shah Jehan, Specialty Trainee Trauma and Orthopaedic Surgery, Hull Royal Infirmary, Hull, UK, HU3 2JZ

Received: January 08, 2018;   Published: January 18, 2018

DOI: 10.26717/BJSTR.2018.02.000672

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Abstract

Mobility is an important factor in the rehabilitation phase for hip fracture patients. Among many factors affecting postoperative mobility, stability of the stem following hemiarthroplasty is considered crucial for early mobility. The purpose of this study was to compare early postoperative mobility in patients with cemented and uncemented hydroxyapatite coated Furlong hemiarthroplasty. We performed a retrospective comparative study to compared two groups of patients who had either cemented, or hydroxyapatite (HA) coated uncemented implants over a period of six months. The groups were matched for their age, sex, pre-fracture mobility and accommodation prior to injury. Their early post-operative (day1-day7) mobility was assessed based on their walking distance, need for support, and pain level. The length of hospital stay and discharge destinations were also recorded and compared between the groups. Each group had 22 patients. The average age was 84 years (range, 74-95). The average pre-fracture mobility score was 5.5. The average post-operative mobility for cemented group was 2.7 at day 1 and 6.3 at day 7. For the uncemented group the average post-operative mobility at day 1 was 3.7, and at day 7 it was 6.9. Hospital stay was slightly longer in the cemented group. We conclude that early post-operative mobility is slightly better in patients who had HA coated uncemented implants. The average hospital stay is longer in the group with cemented implants.

Keywords: Hemiarthroplasty; Hip; Fracture; Mobility; Orthopaedic; Trauma; Rehabilitation

Abbreviations: NICE: National Institute of Clinical Excellence; HA: Hydroxy Apatite; OH: Own Home; RH: Residential Homes

Abstract| Introduction| Patients and Methods| Result| Discussion| Conclusion| References|