Role of arthroplasty in unstable trochanteric fractures in elderly patients

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چکیده

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How to Treat the Complex Unstable Intertrochanteric Fractures in Elderly Patients? DHS or Arthroplasty

Background:  Due to difficulty in obtaining anatomical reduction, management of the unstable intertrochanteric fractures in elderly osteoporotic patients is challenging. The purpose of this study is to compare the results of hip arthroplasty (total, hemi, or bipolar) with DHS in the elderly patients with unstable intertrochanteric fractures.   Methods:  We prospectively studied and followed-up ...

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how to treat the complex unstable intertrochanteric fractures in elderly patients? dhs or arthroplasty

background:  due to difficulty in obtaining anatomical reduction, management of the unstable intertrochanteric fractures in elderly osteoporotic patients is challenging. the purpose of this study is to compare the results of hip arthroplasty (total, hemi, or bipolar) with dhs in the elderly patients with unstable intertrochanteric fractures.   methods:  we prospectively studied and followed-up ...

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Calcar Preservation Arthroplasty for Unstable Intertrochanteric Femoral Fractures in Elderly

BACKGROUND The treatment of unstable intertrochanteric fractures in elderly is still controversial. The purpose of this study is to present treatment strategies for unstable intertrochanteric fractures with hemiarthroplasty using standard uncemented collared femoral stems and at the same time preserving the fractured calcar fragment. METHODS Fifty-four patients aged 75 years or older with uns...

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

BACKGROUND 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. AIM The aim of this study is to find out which of these treatment option...

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Augmentation of proximal femoral nail in unstable trochanteric fractures

INTRODUCTION Biomechanically proximal femoral nail (PFN) is a better choice of implant, still it is associated with screw breakage, cut out of screw through femoral head, Z effect, reverse Z effect, and lateral migration of screws. The purpose of this study is to evaluate the results of augmented PFN in terms of prevention of postoperative complications and failure rates in unstable trochanteri...

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ژورنال

عنوان ژورنال: International Journal of Orthopaedics Sciences

سال: 2019

ISSN: 2395-1958

DOI: 10.22271/ortho.2019.v5.i4i.1720