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- W2075326437 abstract "Evaluar los resultados de la artroplastia total de cadera no cementada tras fractura cervical femoral aguda, en pacientes previamente activos. Estudio prospectivo emparejado de 76 pacientes con fractura y 76 con coxartrosis. Para la valoración clínica se utilizó la escala de Harris, el WOMAC reducido y el SF-12. Seguimiento medio de 7,3 años (rango 5-11). No había diferencias significativas en las tasas de complicaciones médicas o quirúrgicas. Los resultados funcionales fueron similares, pero con mayor utilización de ayudas para caminar en los pacientes con fractura. Entre estos hubo 3 luxaciones, y ninguna en los controles. Entre los pacientes fracturados hubo 6 revisiones (una luxación, 2 infecciones profundas y 3 aflojamientos asépticos), mientras en el grupo de coxartrosis hubo 2 aflojamientos asépticos. No había diferencia significativa en la supervivencia de la prótesis a 10 años (88,7 vs. 96,1%, p = 0,15). Las tasas de mortalidad a 2 y 10 años fueron similares. La artroplastia total de cadera no cementada para tratamiento de fractura cervical femoral aguda se mostró similar a la cirugía electiva por artrosis en estos pacientes seleccionados. To evaluate outcomes of cementless total hip replacement after acute femoral neck fracture in active patients. A prospective matched study was conducted to compare the results between 76 patients with fractures and 76 patients with osteoarthritis. The Harris score, short-WOMAC and SF-12 were used for the clinical assessment. The mean follow-up was 7.3 years (range 5-11). There were no significant differences in medical or surgical complications between the 2 groups. Functional outcomes were similar, but more walking aids were used in fracture group. There were 6 revisions among the fractures group (one dislocation, 2 deep infections, 3 aseptic loosening), and 2 aseptic loosening among controls. There was no significant difference in arthroplasty survival at 10 years (88.7 vs. 96.1%, P = .15). The mortality rates at 2 and 10 years were similar. Cementless total hip replacement for treatment of acute femoral neck fracture showed similar results to those of elective surgery for osteoarthritis in these selected patients." @default.
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- W2075326437 date "2014-05-01" @default.
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- W2075326437 title "Artroplastia total de cadera no cementada tras fractura cervical femoral aguda en pacientes activos. Estudio prospectivo emparejado con seguimiento mínimo de 5 años" @default.
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- W2075326437 doi "https://doi.org/10.1016/j.recot.2014.01.005" @default.
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