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Mortality rate and mid-term outcomes of total hip arthroplasty using dual mobility cups for the treatment of femoral neck fractures in a Middle Eastern population

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dc.contributor.author Assi, Chahine C.
dc.contributor.author Barakat, Hanane B.
dc.contributor.author Caton, Jacques H.
dc.contributor.author Najjar, Elie N.
dc.contributor.author Samaha, Camille T.
dc.contributor.author Yammine, Kaissar F.
dc.date.accessioned 2019-05-06T08:32:21Z
dc.date.available 2019-05-06T08:32:21Z
dc.date.copyright 2019 en_US
dc.identifier.issn 1532-8406 en_US
dc.identifier.uri http://hdl.handle.net/10725/10548
dc.description.abstract Background The dual mobility cups (DMCs) were shown to reduce dislocation rate following total hip arthroplasty for any etiology, including femoral neck fractures. No reported studies evaluating DMC results for femoral neck fracture in a Middle Eastern population were found in the literature. Methods This study aims to look for mortality rate, clinical, and functional outcomes in a population having specific rituals involving extreme hip positions as part of their daily activities. Results Of an initial sample of 174 patients (177 operated hips), 18 (10.3%) patients (20 hips) died after a mean of 39.6 ± 13.8 months (ranging from 2 to 49 months) with only 3 (1.7%) during the first post-operative year. Twelve patients (13 hips) were lost to follow-up and 19 patients (19 hips) had their radiological data incomplete. In the final sample of 125 patients (125 hips), no dislocation, aseptic loosening, or infection was encountered. The mean modified Hip Harris Score was of 94.8 ± 8.4. The mean modified Hip Harris Score of 40 patients who used to practice regularly oriental sitting position or prayers was 94.1 ± 3.1. After surgery, 36 of these 40 patients (90%) described their hip as “a forgotten hip.” Multivariate analyses found correlation only between mortality and cardiovascular co-morbidities. Conclusion DMC implants showed excellent clinical and functional results. The majority of patients having rituals and customs involving extreme hip positions were able to resume their daily activities. The observed low mortality rate should incite future research to investigate its correlation with the use of DMCs. en_US
dc.language.iso en en_US
dc.title Mortality rate and mid-term outcomes of total hip arthroplasty using dual mobility cups for the treatment of femoral neck fractures in a Middle Eastern population en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201004807 en_US
dc.author.idnumber 201801808 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Journal of Arthroplasty en_US
dc.journal.volume 34 en_US
dc.journal.issue 2 en_US
dc.article.pages 333-337 en_US
dc.keywords Total hip arthroplasty en_US
dc.keywords Dual mobility cups en_US
dc.keywords Hip dislocation en_US
dc.keywords Morality en_US
dc.keywords Hip revision surgery en_US
dc.identifier.doi https://doi.org/10.1016/j.arth.2018.10.030 en_US
dc.identifier.ctation Assi, C. C., Barakat, H. B., Caton, J. H., Najjar, E. N., Samaha, C. T., & Yammine, K. F. (2019). Mortality rate and mid-term outcomes of total hip arthroplasty using dual mobility cups for the treatment of femoral neck fractures in a Middle Eastern population. The Journal of arthroplasty, 34(2), 333-337. en_US
dc.author.email chahine.assi@lau.edu.lb en_US
dc.author.email kaissar.yammine@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.sciencedirect.com/science/article/pii/S0883540318310878 en_US
dc.author.affiliation Lebanese American University en_US


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