Hip & pelvis

The Korean Hip Society (대한고관절학회)
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Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis

  • Yoo, Jun-Il (Department of Orthopaedic Surgery, Gyeongsang National University Hospital) ;
  • Cha, Yong-Han (Department of Orthopaedic Surgery, Eulji University Hospital) ;
  • Kim, Kap-Jung (Department of Orthopaedic Surgery, Eulji University Hospital) ;
  • Kim, Ha-Yong (Department of Orthopaedic Surgery, Eulji University Hospital) ;
  • Choy, Won-Sik (Department of Orthopaedic Surgery, Eulji University Hospital) ;
  • Hwang, Sun-Chul (Department of Orthopaedic Surgery, Gyeongsang National University Hospital)
  • Received : 2018.09.04
  • Accepted : 2018.10.30
  • Published : 2018.12.01
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Abstract

Purpose: This study was conducted to compare cemented and cementless bipolar hemiarthroplasty in elderly patients with unstable intertrochanteric fractures via meta-analysis and systematic review of relevant studies. Materials and Methods: Systematic review and meta-analysis were performed on 31 available clinical studies; 19 of these studies used cemented stems, 12 used cementless stems, one used both types of stems, and two studies involved a comparative analysis of both stem types. Results: There were statistically significant differences in rates of leg length discrepancy (LLD) greater than 1 cm between the cemented (event rate, 0.089) and cementless groups (event rate, 0.015 and 0.047; P=0.03). Conclusion: Cemented bipolar hemiarthroplasty and cementless bipolar hemiarthroplasty performed on elderly patients with unstable intertrochanteric fracture revealed similar mortality and complication rates; however, the rate of LLD greater than 1 cm was significantly higher in the cemented group compared with the cementless group.

Keywords

References

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