Intra-operative fractures in cementless bipolar hemiarthroplasty

Journal of Orthopaedic Surgery
C L KuoH C Lee

Abstract

To compare patients with or without intra-operative fracture during cementless bipolar hemiarthroplasty. Records of 76 men and 202 women who underwent cementless bipolar hemiarthroplasty for femoral neck fractures were reviewed. Patients with and without intra-operative fractures and patients with different types of intra-operative fractures were compared. Two men and 22 women aged 62 to 93 (mean, 80) years sustained intra-operative fractures at the lesser trochanter (n=18), the greater trochanter (n=5), and the subtrochanter (n=1). All 18 lesser trochanteric fractures and 4 of the greater trochanteric fractures were recognised intra-operatively and managed with cerclage wiring (n=21) or conversion to cemented hemiarthroplasty with cerclage wiring (n=1). The remaining 2 fractures were recognised postoperatively on radiographs and managed conservatively or with revision surgery and cerclage wiring and plating on day 4. Intra-operative fractures correlated with female gender (p=0.03) and operative delay to optimise patients (p=0.02), whereas the fracture site correlated with the time of fracture recognition (p=0.01). Postoperatively, 5 patients were allowed partial weight bearing and 18 were instructed to mobilise with a wheelcha...Continue Reading

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Citations

May 18, 2018·Archives of Orthopaedic and Trauma Surgery·Choon Chiet HongDiarmuid Paul Murphy
May 14, 2019·OTA International : the Open Access Journal of Orthopaedic Trauma·Kyle Matsuo NatsuharaJohn Patrick Meehan

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