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Osteosynthesis and Trauma Care 2005; 13(4): 214-218
DOI: 10.1055/s-2005-836622
Original Article

© Georg Thieme Verlag Stuttgart · New York

Hemiarthroplasty for Displaced Intracapsular Femoral Neck Fractures

J. Bartoníček1 , J. Skála-Rosenbaum1 , V. Džupa1 , P. Douša1
  • 1Orthopaedic Department, 3rd Faculty of Medicine, Charles University, Prague-Vinohrady, Prague, Czech Republic
Further Information

Publication History

Publication Date:
01 December 2005 (online)

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Abstract

Hemiarthroplasty still plays an irreplaceable role in the therapeutic algorithm of the treatment of displaced intracapsular femoral neck fractures. In elderly patients (over 80 years old), in a poorer general condition (ASA III and more), with low life activity, we prefer a cemented monoblock. In cases of biologically younger patients where the general or local condition does not allow performance of a total arthroplasty, a modular hemiarthroplasty with a replaceable head is indicated as it facilitates an easy conversion to total prosthesis in cases of erosion of the acetabulum. Of vital importance in all cases is the correct surgical technique, observing the relation between the head centre and the apex of the greater trochanter, i. e., the head centre has to be 1 to 2 mm below the apex of the greater trochanter. Of no less importance is the correct anteversion and suture of the capsule as a means of prevention of postoperative dislocation.

Key words

intracapsular femoral neck fractures - hemiarthroplasty - proximal femur fractures

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Prof. Jan BartoníčekMD, DSc 

Orthopaedic Department · 3rd Faculty of Medicine · Charles University · Prague-Vinohrady

Šrobárova 50

10034 Prague 10

Czech Republic

Phone: +4 20/2/67 16 27 16

Fax: +4 20/2/67 31 33 72

Email: bartonic@fnkv.cz

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