Treatment of XXXX with total hip replacement versus cemented and noncemented hemiarthroplasty.

@entity1 @entity2249 @entity5 @entity988 @entity79 @entity716 @entity158 @entity299
A prospective study of displaced @entity2249 was conducted with @entity1 randomized into three groups: cemented total hip replacement (THR), cemented hemiarthroplasty (UHR-C), and noncemented hemiarthroplasty (UHR-NC). Eighty-nine @entity1 were treated for displaced (Garden type 3 or 4) fracture with a prosthesis; 39 @entity1 had THR, 37 had UHR-C, and 13 had UHR-NC. No difference was found in the level of @entity158 , ambulation, or aids required between the THR group and the UHR-C group, except for active community ambulators, who demonstrated decreased endurance capability when treated with UHR-C. The @entity1 treated with UHR-NC had @entity158 and decreased ambulation and required assistive devices. The most significant complication was dislocation, which occurred in 7 @entity1 with THR and 2 with UHR-C. The mortality rate at 2 years was 18%; all but two of the deaths were in @entity1 with one of five different medical diseases: clinically significant @entity299 , @entity5 , @entity988 , or @entity716 . The mortality rate was insignificant in @entity1 younger than 70 years of age. Roentgenographic review showed only 2 of 76 cemented stems with progressive @entity79 , with one @entity1 requiring revision for a loose prosthesis. No evidence of protrusio was seen with the use of the bipolar cap. The uncemented hemiarthroplasties demonstrated lucency between the metal and bone in the proximal femur in 9 of 13 stems. The authors make recommendations regarding hip replacement.
