Functional Outcome of Cemented Bipolar Hemiarthroplasty for Unstable Intertrochanteric Fractures of Femur in Elderly: An Indian Perspective
نویسندگان
چکیده
Introduction: The management of unstable intertrochanteric fracture in elderly patients poses the challenges of difficult anatomical reduction as well as the need for prolonged immobilization and delayed weight bearing to prevent implant failure secondary to poor bone quality. Because of prolonged immobilization, complications such as deep vein thrombosis, hypostatic pneumonia, pressure sores, dehydration, atelectasis, and metabolic disturbances may increase the morbidity and mortality. The purpose of this study was to evaluate the use of cemented bipolar hemiarthroplasty as the primary treatment in unstable intertrochanteric fractures in patients above 70 years of age.
منابع مشابه
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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BACKGROUND Unstable intertrochanteric fractures remain a challenging problem in elderly individuals due to high failure rates associated with internal fixation. Hemiarthroplasty is one treatment option for intertrochanteric femur fractures in elderly patients. The aim of the present study was to compare the reliability of cementless and cemented hemiarthroplasty for unstable intertrochanteric f...
متن کاملComparison of Intertrochanteric Fracture Fixation with Dynamic Hip Screw and Bipolar Hemiarthroplasty Techniques
Background: At present, there is no consensus on an appropriate treatment modality for intertrochanteric fractures in the elderly with background diseases. The aim of the present study was to compare treatment outcomes of intertrochanteric fractures reduced with dynamic hip screws (DHS) and bipolar hemiarthroplasty in elderly patients with background medical conditions. Methods: In this randomi...
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Unstable Intertrochanteric Fractures in Elderly Osteoporotic Patients can be a difficult problem to manage. Various studies have established advantages of primary bipolar hemiarthroplasty over internal fixation in this subset of cases. We would like to share our experience of Transtrochanteric approach in the scenario of intertrochanteric fractures. Thirty six patients who met the inclusion cri...
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With today’s aging population, musculoskeletal diseases such as osteoporosis, degenerative arthritis, and degenerative spine disease, are on the rise, and these conditions are associated with increased fracture risk. Intertrochanteric fractures in elderly patients often involve severe displacement or comminution with poor bone quality. Accordingly, various treatment methods for hip fracture hav...
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