The effectiveness of primary bipolar arthroplasty in treatment of unstable intertrochanteric fractures in elderly patients.

North American Journal of Medical Sciences
Khaldoun SinnoHassan Khatib

Abstract

The treatment of unstable intertrochanteric fracture in the elderly patient is still controversial. Traditionally, internal fixation using a dynamic hip screw was of choice. Recently, some authors advocated the use of cemented bipolar arthroplasty or hemiarthroplasty which results in better functional outcome. The aim of this study is to find out which of these treatment options can lead to the best clinical and functional outcomes. One hundred and two patients admitted to Makassed General Hospital between 2002 and 2007 with a diagnosis of unstable intertrochanteric fracture of femur were selected. Preoperative and operative data was retrieved from inpatient hospital files. Postoperative radio clinical data at follow up visits was collected from outpatient department files. Functional outcomes were assessed with use of Harris hip score. The main clinical measures were early postoperative full weight bearing, postoperative complications and functional outcome. The time to full weight bearing, the rate of postoperative complications, and the functional outcomes was significantly better in the cemented bipolar arthroplasty group. According to our results, we believe that cemented bipolar hemiarthroplasty is of choice in freely mob...Continue Reading

Citations

Sep 28, 2015·The Orthopedic Clinics of North America·Tatu J MäkinenPaul R T Kuzyk
Jan 26, 2016·Indian Journal of Orthopaedics·Chandrashekar J ThakkarMalhar N Kumar
Mar 31, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Senthil Nathan SambandamCyril Mauffrey
Jul 5, 2015·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ronald IsidaChristophe Chantelot

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