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Standard Type Cemented Hemiarthroplasty with Double Loop and Tension Band Wiring for Unstable Intertrochanteric Fractures in the Elderly  

Cho, Hong-Man (Department of Orthopedic Surgery, Daejeon Veterans Hospital)
Lee, Seung-Ryul (Department of Orthopedic Surgery, Daejeon Veterans Hospital)
Park, Myung-Sik (Department of Orthopedic Surgery, Chonbuk National University School of Medicine)
Chung, Woo-Chull (Department of Orthopedic Surgery, Busan Veterans Hospital)
Publication Information
Hip & pelvis / v.22, no.2, 2010 , pp. 159-165 More about this Journal
Abstract
Purpose: To determine follow-up results for elderly patients with osteoporosis that received standard cemented bipolar hemiarthroplasty with double loop and tension band wiring for treatment of unstable intertrochanteric hip fractures. Materials and Methods: Between May 2000 and May 2006, 86 cemented bipolar hemiarthroplasties were done in elderly patients who had unstable intertrochanteric fractures. The mean age at the time of surgery was 82 years. The average follow-up period was 5.3 years. We evaluated post-operative results by clinical and radiographic methods. Results: At the final follow-up, the mean Harris hip score was 79.2. The mean time needed for full weight bearing following surgery was 4.2 weeks and 82.5 % of patients regained their preoperative level of ambulation. All patients achieved union in the lesser trochanter fracture, but substantial trochanter displacement was observed in 4 cases. There was one case of acetabular erosion. Superficial infections were found Post-operatively in 2 cases. One case with stem subsidence (<5 mm) showed satisfactory results without subsidence in further follow-ups. Conclusion: If cemented bipolar hemiarthroplasty is properly applied in the treatment of unstable intertrochanteric hip fractures in the elderly, systematic postoperative rehabilitation, and pain control can be achieved.
Keywords
Hip; Intertrochanteric fracture; Bipolar hemiarthroplasty;
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