Comparison of Clinical Results between Bipolar Hemiarthroplasty and Compression Hip Screw on Unstable Intertrochanteric Fractures of the Femur in Elderly Patients

2004 ◽  
Vol 17 (3) ◽  
pp. 214 ◽  
Author(s):  
Eui seoung Yoon ◽  
Hak Jin Min ◽  
Jae Seong Suh ◽  
Yoon Jong Kim ◽  
Hee Seon Kim ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Clinical Results ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Hip Screw ◽  
Fractures Of The Femur

scholarly journals Short term results of modular bipolar hemiarthroplasty for the treatment of neglected trochanteric femur fracture in the elderly

2019 ◽  
Vol 6 (1) ◽  
pp. 53
Author(s):  
Towseef Ahmad Bhat ◽  
Zameer Ali ◽  
Manik Sehgal
Keyword(s):  
Femoral Fractures ◽  
The Elderly ◽  
Clinical Results ◽  
Good Choice ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Postoperative Rehabilitation ◽  
Cemented Bipolar Hemiarthroplasty ◽  
Fractures Of The Femur

<p class="abstract"><strong>Background:</strong> In rural India because of native practitioner culture people tend to neglect orthopaedic injuries and often present late to the hospitals. Bipolar hemiarthroplasty for neglected intertrochanteric fractures of the femur in the elderly yields good clinical results in terms of early postoperative ambulation. This will have a direct effect on the general condition and postoperative rehabilitation.</p><p class="abstract"><strong>Methods:</strong> Sixteen patients with proximal extracapsular femoral fractures presented average 10.4 weeks late from the day of injury, were treated with modular bipolar hemiarthroplasty. There were 11 men and 5 women, with mean age of 72.8 years (range: 65–83 years). Primary cemented bipolar hemiarthroplasty was performed using the Hardinge lateral approach in a lateral decubitus position. Harris hip score was used for the clinical evaluation of the patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> Clinically, the Harris hip score at the last follow-up ranged from 92 to 59, with a mean value of 81.7. Postoperative radiographs showed a good position in all patients. 1 patient developed complication during cementing and 1 case came with dislocation. No case of infection, acetabular erosion, periprostheic fracture or implant loosening was reported in this study.</p><p class="abstract"><strong>Conclusions:</strong> Primary cemented bipolar hemiarthroplasty is a good choice in elderly patients with neglected intertrochanteric fractures of the femur.</p>

scholarly journals Management of complex intertrochanteric fractures of the femur in elderly patients – dynamic hip screws or proximal femoral nails or arthroplasty

2017 ◽  
Vol 3 (4) ◽  
pp. 656
Author(s):  
Naushad Hussain ◽  
Hiren B. Patel ◽  
Nirmal D. Patil
Keyword(s):  
Elderly Patients ◽  
Comparative Evaluation ◽  
Fracture Site ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Anatomical Reduction ◽  
Elderly Individuals ◽  
Fractures Of The Femur

<p class="abstract"><strong>Background:</strong> Ideal management of intertrochanteric fractures in elderly individuals has been debated for several years. Due to difficulty in obtaining anatomical reduction, management of the complex intertrochanteric fractures in elderly patients is challenging and controversial<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> In the present study prospective comparative evaluation has been done between dynamic hip screws<strong> (</strong>DHS), proximal femoral nail (PFN) and bipolar hemiarthroplasty for overall clinical outcome of patients with unstable intertrochanteric fractures. The total numbers of patients were 90 with each group consisted of 30 patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> Complication rate and requirement of revision surgery was more in DHS group but this was not found to be statistically significant. Harris Hip Score &amp; hence the functional outcome was found to be more in PFN group as compared to DHS which was statistically significant. Bipolar hemiarthroplasty provides early full wieght bearing leading to better HHS at 6 weeks evaluation but almost similar score to PFN in long term<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> PFN is better choice of fixation if good bone quality present while extremely osteoporotic patients or extreme comminution at fracture site favours bipolar hemiarthroplasty in elderly patients<span lang="EN-IN">.</span></p>

scholarly journals The Comparison of Compression Hip Screw and Bipolar Hemiarthroplasty for the Treatment of AO Type A2 Intertrochanteric Fractures

Hip & Pelvis ◽  
2014 ◽  
Vol 26 (2) ◽  
pp. 99 ◽  
Author(s):  
Yee-Suk Kim ◽  
Jae-Seung Hur ◽  
Kyu-Tae Hwang ◽  
Il-Yong Choi ◽  
Young-Ho Kim
Keyword(s):  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Hip Screw

scholarly journals Primary cemented bipolar hemiarthroplasty by transtrochanteric approach in unstable intertrochanteric fractures

2021 ◽  
Author(s):  
Thomas Angelo Skariah ◽  
Koshy George ◽  
Deny Mathew ◽  
James C. George ◽  
Samuel Chittaranjan
Keyword(s):  
Elderly Patients ◽  
Successful Treatment ◽  
Tertiary Care ◽  
Postoperative Outcome ◽  
Early Mobilization ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Tertiary Care Centre ◽  
Duration Of Surgery ◽  
One Year

<p><strong>Background:</strong> The successful treatment of unstable intertrochanteric fractures of the femur in elderly patients is a challenge. Due to complications associated with internal fixation, primary hemiarthroplasty is increasingly becoming an alternative treatment to achieve early mobilisation. A transtrochanteric approach could potentially decrease the complications associated with primary hemiarthroplasty. Aim of the study is to document the postoperative outcome and complications associated with this treatment.</p><p><strong>Methods:</strong> In this retrospective study, all elderly patients with unstable trochanteric fractures, treated by primary hemiarthroplasty through a transtrochanteric approach, in a tertiary care centre, from September 2017 to December 2019, were enrolled. Their data from hospital records were analysed and results compared to literature.</p><p><strong>Results:</strong> 48 patients underwent the procedure. Average age was 85 years. One year mortality was 31.25%. Average duration of surgery is 85 min. 58.3% were ambulant at one year. One case of dislocation secondary to surgical site infection was present.</p><p><strong>Conclusions:</strong> Primary hemiarthroplasty as a primary treatment in this group of patients enables early mobilization and prevents complications associated with prolonged immobilization. Transtrochanteric approach reduces the duration of surgery. Achieving early ambulation is the key to successful treatment.</p>

The Treatment of intertrochanteric Fractures of the Femur using Compression Hip Screw

1995 ◽  
Vol 30 (6) ◽  
pp. 1814
Author(s):  
Kyung Chul Kim ◽  
Jae Yeol Choi ◽  
Joon Sik Kim ◽  
Ye Soo Park ◽  
Young Soo Jhe ◽  
...  
Keyword(s):  
Intertrochanteric Fractures ◽  
Hip Screw ◽  
Fractures Of The Femur

Mid-term survivals of cemented calcar-replacement bipolar hemiarthroplasty for unstable intertrochanteric fractures in elderly patients

Injury ◽  
2019 ◽  
Vol 50 (12) ◽  
pp. 2277-2281
Author(s):  
Adem Cobden ◽  
Yalkin Camurcu ◽  
Serda Duman ◽  
Ahmet Kocabiyik ◽  
Mehmet Kıs ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures
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