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Collum femoris frakturer - a-kursus.dk

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Arthroplasties (with and without bone cement) for proximal<br />

femoral fractures in adults.<br />

Parker MJ, Gurusamy K. Cochrane Databse Syst Rev 2004; (2) : CD 001706<br />

• 15 trials including 1670 patients<br />

• Cemented versus uncemented were associated with a lower risk<br />

of failure to regain mobility RR 0.60 and post-op pain at one year<br />

RR 0.51, but because of the underreporting of outcomes and the<br />

small number of patients involved, no definite conclusions can be<br />

made<br />

• No difference between unipolar and bipolar arthroplasties<br />

• No conclusions could be drawn between various<br />

hemiarthroplasties versus total hip arthroplasties<br />

• The role of bipolar prostheses is uncertain

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