Lubinuksen puoliproteesin komplikaatiot akuutin reisiluun kaulan murtuman hoidossa Keski-Suomen keskussairaalassa

Abstract

<p>A total of 250 acute femoral neck fractures (244 patients) were operated using cemented<br />unipolar hemiarthroplasty (Lubinus sp II) in Central Finland Hospital, Jyväskylä<br />between 2007–2008. We retrospectively searched the patient records for<br />complications. Women composed 70 % (n=171) of the study population. The average<br />age of the women was 82,5 years and that of men 79,6 years. All operations<br />were performed using posterior approach. We found 29 (11,6 %) complications in<br />28 patients during mean follow-up of 4 years. There were 12 dislocations (4,8 % of<br />all patients), 3 (1,2 %) periprosthetic fractures, 2 (0,8 %) super! cial wound infections,<br />5 (2,0 %) deep (prosthetic) infections, 1 (0,4 %) protrusions of the prosthesis, 2<br />(0,8 %) intraoperative iatrogenic fractures, 2 (0,8 %) paralysis of the peroneal nerve<br />and 2 (0,8 %) conversions to total hip artroplasty (THA) due to groin pain. A conversion<br />to THA for any reason was performed in 9 cases (3,6 %) and revision surgery<br />was required in 14 (5,6 %) cases. Complication rate in our hospital is at par with the<br />level described in international literature. The need for conversion to THA and revision<br />surgery is low.<br /></p>