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LETTER TO EDITOR Table of Contents   
Year : 2008  |  Volume : 42  |  Issue : 4  |  Page : 482
Prosthetic replacement in femoral neck fracture in the elderly


Department of Orthopedics, Primus Ortho and Spine Hospital, Chandragupta marg, New Delhi - 21, India

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How to cite this article:
Anand A. Prosthetic replacement in femoral neck fracture in the elderly. Indian J Orthop 2008;42:482

How to cite this URL:
Anand A. Prosthetic replacement in femoral neck fracture in the elderly. Indian J Orthop [serial online] 2008 [cited 2019 Sep 18];42:482. Available from: http://www.ijoonline.com/text.asp?2008/42/4/482/43402
Sir,

I read with great interest the article by Marya et al. [1] . I must complement the authors for a well-written article. However, I need a clarification as the authors have suggested in Materials and Methods that one of the deciding factors for choosing the type of implant (cementless vs cemented) was bone stock. They have suggested that patients with better bone stock were offered cemented or hybrid hips, which is quite contrary to the classical teaching. The universal recommendation for cementless vs cemented stems is based on Dorr's classification, which is the universal standard in the West. [2] According to this classification, Type A or Type B femurs (better bone stock) are the candidates for cementless stems, and Type C femurs are the candidates for cemented stems. [3] The other factors that decide the type of implant are age, degree of activity, and body weight. In general, the younger, active, and heavier patients need cementless stems. [4]

 
   References Top

1.Marya SK, Thukral R, Singh C. Prosthetic replacement in femoral neck fracture in the elderly: Results and review of the literature. Indian J Orthop 2008;42:61-7.  Back to cited text no. 1    Medknow Journal
2.Dorr Ld, Glousman R, Hoy AL, Vanis R, Chandler R. Treatment of femoral neck fractures with total hip replacement versus cemented and noncemented hemiarthroplasty. J arthroplasty 1986;1:21-8.  Back to cited text no. 2  [PUBMED]  
3.Engh CA, Bobyn JD, Glassman AH. Porous coated hip replacement. The factors governing bone ingrowth, stress shielding and clinical results. J Bone Joint Surg Br 1987;69:45-55.  Back to cited text no. 3    
4.Callaghan JJ, Templeton JE, Liu SS, Pedersen DR, Goetz DD, Sullivan PM, et al . Results of Charnley total hip arthropalsty at a minimum of thirty years: A concise follow-up of a previous report. J Bone Joint Surg Am 2004;86:690-5.  Back to cited text no. 4  [PUBMED]  [FULLTEXT]

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Correspondence Address:
Ashish Anand
Department of Orthopedics, Primus Ortho and Spine Hospital, Chandragupta marg, New Delhi - 21
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.43402

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