Comparison between Bipolar Hemiarthroplasty and Total Hip Arthroplasty for Unstable Intertrochanteric Fractures in Elderly Osteoporotic Patients

نویسندگان

  • Lihong Fan
  • Xiaoqian Dang
  • Kunzheng Wang
چکیده

The present study was conducted to compare bipolar hemiarthroplasty (BA) with total hip arthroplasty (THA) in treatment of unstable intertrochanteric fractures in elderly osteoporotic patients. The THA group included 14 males and 26 females with a mean age of 73.4 years, and the BA group included 27 males and 45 females with a mean age of 76.5 years. Significant difference existed between the two groups in operation time, blood loss, transfusion volume and cost of hospitalization, while no remarkable difference was identified in hospitalization period, general complications, joint function, pain, rate of revision and mortality. No dislocation was observed in BA group while 3 occurred in THA group. The results indicated that for unstable intertrochanteric fractures in elderly osteoporotic patients, BA seems to be a better or more reasonable choice compared with THA for the reason of less blood loss, shorter operation time, lower cost and no dislocation.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

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 ...

متن کامل

Comparison 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...

متن کامل

Bipolar hemiarthroplasty in unstable intertrochanteric fractures in elderly: a prospective study.

INTRODUCTION Intertrochanteric fractures in osteoporotic bones which are grossly comminuted are highly unstable and difficult to treat. Conservative treatment with traction and prolonged immobilization lands up with many complications and often fatality. Rate of failure with internal fixation, with dynamic hip screws has been found to be high, especially in osteoporotic bones. Revision osteosyn...

متن کامل

Cemented Bipolar Hemiarthroplasty versus Proximal Femoral Nails: A Prospective Comparative Outcome Analysis in Unstable Elderly Intertrochanteric Fractures

Introduction: Hip fractures always cause short-term pain, disability and a longer-term pain, disability or Deformity. Only a small number of reports on the incidence of hip fractures in the Asian population exist. Intertrochanteric fractures in osteoporotic bones with gross comminution are highly unstable and are associated with a high risk of morbidity and mortality. Material and Methods: To c...

متن کامل

Transtrochanteric Approach for Cemented Bipolar Hemiarthroplasty in Unstable Inter Trochanteric Fracturesin Elderly Osteoporotic Patients –A Case Series

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...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 7  شماره 

صفحات  -

تاریخ انتشار 2012