divendres, 14 de gener del 2011

A comparison of hemiarthroplasty with total hip replacement

Es l'article del Xavi a la bibligràfica de dilluns. Interessant per que hi han pocs estudis randomitzats al respecte.

A comparison of hemiarthroplasty with total hip replacement for displaced intracapsular fracture of the femoral neck. A RANDOMISED CONTROLLED MULTICENTRE TRIAL IN PATIENTS AGED 70 YEARS AND OVER
M. P. J. van den Bekerom,  E. F. Hilverdink,
Academic Medical Center, Amsterdam
JBJS, Br. VOL. 92-B, No. 10, OCTOBER 2010
Because of a higher intra-operative blood loss (p < 0.001), an increased duration of the operation (p < 0.001) and a higher number of early and late dislocations (p = 0.002), we do not recommend THR as the treatment of choice in patients aged ≥ 70 years with a fracture of the femoral neck in the absence of advanced radiological osteoarthritis or rheumatoid arthritis of the hip...
Ara solament falta que trobem una forma de minimitzar la usura del còtil ( 10%) i cap mes total... 



Gràcies Solernou, article molt interesant.

JHB