Primary Long Distal Fitting Bipolar Hemiarthroplasty for Unstable Intertrochanteric Fracture in Elderly Patients
-
Reza Zandi
,
Amin Karimi
,
Mehrdad Sadighi
,
Mohammadreza Minator Sajjadi
,
Mohammad Ali Okhovatpour
,
Adel Ebrahimpour
,
Mehdi Fazeli
Abstract
Background: Intertrochanteric fracture in elderly patients is a frequent problem and is becoming more prominent as the proportion of this injury increases. The ideal treatment for an unstable intertrochanteric femoral fracture in senile osteoporotic patients remains controversial.
Methods: Seventy-five patients (over 70 years of age) with unstable intertrochanteric fractures were randomized into three groups and treated with three different procedures including long-stem bipolar hemiarthroplasty, proximal femoral nail (PFN), and dynamic hip screw (DHS). Estimated blood loss, duration of the operation, time of full weight-bearing, and Harris Hip Score (HHS) were determined for each patient.
Results: Surgical time was longer in hemiarthroplasty group, but the HHS and time from surgery to mobilization in these patients were significantly superior to the two other groups. PFN group had the lowest bleeding volume during surgery. Revision surgery was lower in hemiarthroplasty compared to the internal fixation, although it was not statistically significant.
Conclusions: In elderly patients with an unstable intertrochanteric femoral fracture who cannot tolerate long immobilization time, primary long distal fitting bipolar hemiarthroplasty is a valid treatment option for faster mobilization, good clinical efficacy, and satisfactory functional outcome.
1. Bartucci EJ, Gonzalez MH, Cooperman DR, Freedberg HI, Barmada R, Laros GS. The effect of adjunctive methylmethacrylate on failures of fixation and function in patients with intertrochanteric fractures and osteoporosis. J Bone Joint Surg Am. 1985;67(7):1094-107. [PubMed: 4030829].
2. Jensen JS. Trochanteric fractures. An epidemiological, clinical and biomechanical study. Acta Orthop Scand Suppl. 1981;188:1-100. doi: 10.3109/ort.1981.52.suppl-188.01. [PubMed: 6939295].
3. Sexson SB, Lehner JT. Factors affecting hip fracture mortality. J Orthop Trauma. 1987;1(4):298-305. doi: 10.1097/00005131-198701040-00005. [PubMed: 3506066].
4. White BL, Fisher WD, Laurin CA. Rate of mortality for elderly patients after fracture of the hip in the 1980's. J Bone Joint Surg Am. 1987;69(9):1335-40. [PubMed: 3440792].
5. Eiskjaer S, Ostgard SE, Jakobsen BW, Jensen J, Lucht U. Years of potential life lost after hip fracture among postmenopausal women. Acta Orthop Scand. 1992;63(3):293-6. doi: 10.3109/17453679209154785. [PubMed: 1609593].
6. Dahl E. Mortality and life expectancy after hip fractures. Acta
Orthop Scand. 1980;51(1):163-70. doi:
10.3109/17453678008990781. [PubMed: 7376837].
7. Little NJ, Verma V, Fernando C, Elliott DS, Khaleel A. A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip. J Bone Joint Surg Br. 2008;90(8):1073-8. doi: 10.1302/0301-620X.90B8.20825. [PubMed: 18669966].
8. Anglen JO, Weinstein JN. Nail or plate fixation of intertrochanteric hip fractures: Changing pattern of practice. A review of the American Board of Orthopaedic Surgery Database. J Bone Joint Surg Am. 2008;90(4):700-7. doi: 10.2106/JBJS.G.00517. [PubMed: 18381305].
9. Aros B, Tosteson AN, Gottlieb DJ, Koval KJ. Is a sliding hip screw or im nail the preferred implant for intertrochanteric fracture fixation? Clin Orthop Relat Res. 2008;466(11):2827-32. doi: 10.1007/s11999-008-0285-5. [PubMed: 18465180]. [PubMed Central: PMC2565060].
10. Kim SY, Kim YG, Hwang JK. Cementless calcar-replacement hemiarthroplasty compared with intramedullary fixation of unstable intertrochanteric fractures. A prospective, randomized study. J Bone Joint Surg Am. 2005;87(10):2186-92. doi: 10.2106/JBJS.D.02768. [PubMed: 16203881].
11. Zhang B, Chiu KY, Wang M. Hip arthroplasty for failed internal fixation of intertrochanteric fractures. J Arthroplasty. 2004;19(3):329-33. doi: 10.1016/j.arth.2003.10.010. [PubMed: 15067646].
12. Hsu CJ, Chou WY, Chiou CP, Chang WN, Wong CY. Hemi-arthroplasty with supplemental fixation of greater trochanter to treat failed hip screws of femoral intertrochanteric fracture. Arch Orthop Trauma Surg. 2008;128(8):841-5. doi: 10.1007/s00402-007-0483-8. [PubMed: 18034254].
13. Shahrezaee M, Okhovatpour MA, Banasiri M, Sharifzadeh SR. Studying the effects of primary arthroplasty on post-treatment results among elderly patients with pertrochanteric fracture. Clin Pract. 2018;8(1):1055. doi:
10.4081/cp.2018.1055. [PubMed: 29441191]. [PubMed Central: PMC5806500].
14. Grimsrud C, Monzon RJ, Richman J, Ries MD. Cemented hip arthroplasty with a novel cerclage cable technique for unstable intertrochanteric hip fractures. J Arthroplasty. 2005;20(3):337-43. doi: 10.1016/j.arth.2004.04.017. [PubMed: 15809952].
15. Rodop O, Kiral A, Kaplan H, Akmaz I. Primary bipolar hemiprosthesis for unstable intertrochanteric fractures. IntOrthop. 2002;26(4):233-7. doi: 10.1007/s00264-002-0358-0.
[PubMed: 12185526]. [PubMed Central: PMC3620945].
16. Chan KC, Gill GS. Cemented hemiarthroplasties for elderly patients with intertrochanteric fractures. Clin Orthop Relat Res. 2000;(371):206-15. doi: 10.1097/00003086-200002000-00025. [PubMed: 10693568].
17. Parvizi J, Ereth MH, Lewallen DG. Thirty-day mortality following hip arthroplasty for acute fracture. J Bone Joint Surg Am. 2004;86(9):1983-8. doi: 10.2106/00004623-200409000-00017. [PubMed: 15342761].
18. Chen YT, Chen WM, Lee KS, Huang CK, Chiang CC, Chen TH. Diaphyseal locking hip arthroplasty for treatment of failed fixation of intertrochanteric hip fractures. J Arthroplasty.
2008;23(2):241-6.doi: 10.1016/j.arth.2007.03.042. [PubMed: 18280419].
19. Sporer SM, Obar RJ, Bernini PM. Primary total hip arthroplasty using a modular proximally coated prosthesis in patients older than 70: Two to eight year results. J
Arthroplasty. 2004;19(2):197-203. doi: 10.1016/j.arth.2003.08.014. [PubMed: 14973863].
20. Byrick RJ. Cement implantation syndrome: A time limited embolic phenomenon. Can J Anaesth. 1997;44(2):107-11. doi: 10.1007/BF03012996. [PubMed: 9043720].
21. Saleh KJ, Kassim R, Yoon P, Vorlicky LN. Complications of total hip arthroplasty. Am J Orthop (Belle Mead NJ). 2002;31(8):485-8. [PubMed: 12216974].
22. Fallon KM, Fuller JG, Morley-Forster P. Fat embolization and fatal cardiac arrest during hip arthroplasty with methylmethacrylate. Can J Anaesth. 2001;48(7):626-9. doi: 10.1007/BF03016194. [PubMed: 11495867].
23. Brun OL, Sund HN, Nordsletten L, Rohrl SM, Mjaaland KE. Component placement in direct lateral vs minimally invasive anterior approach in total hip arthroplasty: Radiographic outcomes from a prospective randomized controlled trial. J Arthroplasty. 2019;34(8):1718-22. doi: 10.1016/j.arth.2019.04.003. [PubMed: 31053468].
24. Zhen P, Liu J, Li X, Lu H, Zhou S. Primary total hip arthroplasty using an uncemented Wagner SL stem in elderly patients with Dorr type C femoral bone. J Orthop Surg Res. 2019;14(1):377. doi: 10.1186/s13018-019-1421-5. [PubMed: 31752915]. [PubMed Central: PMC6868742].
25. Sonmez MM, Camur S, Erturer E, Ugurlar M, Kara A, Ozturk I. Strategies for proximal femoral nailing of unstable intertrochanteric fractures: Lateral decubitus position or traction table. J Am Acad Orthop Surg. 2017;25(3):e37-e44. doi: 10.5435/JAAOS-D-15-00691. [PubMed: 28134676].
26. Gruss M, Traut R. Management of unstable pertrochanteric and per- to subtrochanteric femoral fractures with the dynamic hip screw. Aktuelle Traumatol. 1992;22(4):144-8. [PubMed: 1357932].
27. Marmor M, Liddle K, Buckley J, Matityahu A. Effect of varus and valgus alignment on implant loading after proximal femur fracture fixation. Eur J Orthop Surg Traumatol. 2016;26(4):379-83. doi: 10.1007/s00590-016-1746-2. [PubMed: 27120073].
28. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: Treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51(4):737-55. [PubMed: 5783851].
29. Parker MJ, Handoll HH. Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Cochrane Database Syst
Rev. 2010;(9):CD000093. doi: 10.1002/14651858.CD000093.pub5. [PubMed: 20824825].
30. Sinno K, Sakr M, Girard J, Khatib H. The effectiveness of primary bipolar arthroplasty in treatment of unstableintertrochanteric fractures in elderly patients. N Am J Med Sci. 2010;2(12):561-8. doi: 10.4297/najms.2010.2561. [PubMed: 22558568]. [PubMed Central: PMC3338223].
31. Choy WS, Ahn JH, Ko JH, Kam BS, Lee DH. Cementless bipolar hemiarthroplasty for unstable intertrochanteric fractures in elderly patients. Clin Orthop Surg. 2010;2(4):221-6. doi: 10.4055/cios.2010.2.4.221. [PubMed: 21119938]. [PubMed Central: PMC2981778].
32. Lee YK, Ha YC, Chang BK, Kim KC, Kim TY, Koo KH. Cementless bipolar hemiarthroplasty using a hydroxyapatite-coated long stem for osteoporotic unstable intertrochanteric fractures. J Arthroplasty. 2011;26(4):626-32. doi: 10.1016/j.arth.2010.05.010. [PubMed: 20637559].
33. Clawson DK. Trochanteric fractures treated by the sliding screw plate fixation method. J Trauma. 1964;4:737-52. doi: 10.1097/00005373-196411000-00001. [PubMed: 14225321].
34. Kyle RF, Gustilo RB, Premer RF. Analysis of six hundred and twenty-two intertrochanteric hip fractures. J Bone Joint Surg Am. 1979;61(2):216-21. [PubMed: 422605].
35. Yong CK, Tan CN, Penafort R, Singh DA, Varaprasad MV. Dynamic hip screw compared to condylar blade plate in the treatment of unstable fragility intertrochanteric fractures. Malays Orthop J. 2009;3(1):13-8.
36. Adams CI, Robinson CM, Court-Brown CM, McQueen MM. Prospective randomized controlled trial of an intramedullary nail versus dynamic screw and plate for intertrochanteric fractures of the femur. J Orthop Trauma. 2001;15(6):394-400. doi: 10.1097/00005131-200108000-00003. [PubMed: 11514765].
37. Fritz T, Hiersemann K, Krieglstein C, Friedl W. Prospective randomized comparison of gliding nail and gamma nail in the therapy of trochanteric fractures. Arch Orthop Trauma Surg. 1999;119(1-2):1-6. doi: 10.1007/s004020050345. [PubMed: 10076936].
38. Yoo JI, Cha YH, Kim KJ, Kim HY, Choy WS, Hwang SC. Comparison between cementless and cemented bipolar
hemiarthroplastyfortreatmentofunstable
intertrochanteric fractures: Systematic review and meta-
analysis. Hip Pelvis. 2018;30(4):241-53. doi: 10.5371/hp.2018.30.4.241. [PubMed: 30534543]. [PubMed Central: PMC6284077].
39. Langslet E, Frihagen F, Opland V, Madsen JE, Nordsletten L, Figved W. Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures: 5-year followup of a randomized trial. Clin Orthop Relat Res. 2014;472(4):1291-9. doi: 10.1007/s11999-013-3308-9. [PubMed: 24081667]. [PubMed Central: PMC3940758].
40. Cankaya D, Ozkurt B, Tabak AY. Cemented calcar replacement versus cementless hemiarthroplasty for unstable
intertrochanteric femur fractures in the elderly. Ulus Travma
Acil Cerrahi Derg. 2013;19(6):548-53. doi:
10.5505/tjtes.2013.57615. [PubMed: 24347215].
41. Berend KR, Lombardi AV, Mallory TH, Dodds KL, Adams JB. Cementless double-tapered total hip arthroplasty in patients 75 years of age and older. J Arthroplasty. 2004;19(3):288-95. doi: 10.1016/j.arth.2003.11.002. [PubMed: 15067639].
42. Pieringer H, Labek G, Auersperg V, Bohler N. Cementless total hip arthroplasty in patients older than 80 years of age. J Bone Joint Surg Br. 2003;85(5):641-5. [PubMed: 12892182].
43. Bohm P, Bischel O. Femoral revision with the Wagner SL revision stem: Evaluation of one hundred and twenty-nine revisions followed for a mean of 4.8 years. J Bone Joint Surg Am. 2001;83(7):1023-31. [PubMed: 11451971].
44. Leung KS, So WS, Shen WY, Hui PW. Gamma nails and dynamic hip screws for peritrochanteric fractures. A randomised prospective study in elderly patients. J BoneJoint Surg Br. 1992;74(3):345-51. [PubMed: 1587874].
45. Haentjens P, Casteleyn PP, De Boeck H, Handelberg F, Opdecam P. Treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients. Primary bipolar arthroplasty compared with internal fixation. J Bone Joint Surg Am. 1989;71(8):1214-25. [PubMed: 2777850].
46. Yoo JI, Ha YC, Lim JY, Kang H, Yoon BH, Kim H. Early rehabilitation in elderly after arthroplasty versus internal fixation for unstable intertrochanteric fractures of femur: Systematic review and meta-analysis. J Korean Med Sci. 2017;32(5):858-67. doi: 10.3346/jkms.2017.32.5.858. [PubMed: 28378562]. [PubMed Central: PMC5383621].
2. Jensen JS. Trochanteric fractures. An epidemiological, clinical and biomechanical study. Acta Orthop Scand Suppl. 1981;188:1-100. doi: 10.3109/ort.1981.52.suppl-188.01. [PubMed: 6939295].
3. Sexson SB, Lehner JT. Factors affecting hip fracture mortality. J Orthop Trauma. 1987;1(4):298-305. doi: 10.1097/00005131-198701040-00005. [PubMed: 3506066].
4. White BL, Fisher WD, Laurin CA. Rate of mortality for elderly patients after fracture of the hip in the 1980's. J Bone Joint Surg Am. 1987;69(9):1335-40. [PubMed: 3440792].
5. Eiskjaer S, Ostgard SE, Jakobsen BW, Jensen J, Lucht U. Years of potential life lost after hip fracture among postmenopausal women. Acta Orthop Scand. 1992;63(3):293-6. doi: 10.3109/17453679209154785. [PubMed: 1609593].
6. Dahl E. Mortality and life expectancy after hip fractures. Acta
Orthop Scand. 1980;51(1):163-70. doi:
10.3109/17453678008990781. [PubMed: 7376837].
7. Little NJ, Verma V, Fernando C, Elliott DS, Khaleel A. A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip. J Bone Joint Surg Br. 2008;90(8):1073-8. doi: 10.1302/0301-620X.90B8.20825. [PubMed: 18669966].
8. Anglen JO, Weinstein JN. Nail or plate fixation of intertrochanteric hip fractures: Changing pattern of practice. A review of the American Board of Orthopaedic Surgery Database. J Bone Joint Surg Am. 2008;90(4):700-7. doi: 10.2106/JBJS.G.00517. [PubMed: 18381305].
9. Aros B, Tosteson AN, Gottlieb DJ, Koval KJ. Is a sliding hip screw or im nail the preferred implant for intertrochanteric fracture fixation? Clin Orthop Relat Res. 2008;466(11):2827-32. doi: 10.1007/s11999-008-0285-5. [PubMed: 18465180]. [PubMed Central: PMC2565060].
10. Kim SY, Kim YG, Hwang JK. Cementless calcar-replacement hemiarthroplasty compared with intramedullary fixation of unstable intertrochanteric fractures. A prospective, randomized study. J Bone Joint Surg Am. 2005;87(10):2186-92. doi: 10.2106/JBJS.D.02768. [PubMed: 16203881].
11. Zhang B, Chiu KY, Wang M. Hip arthroplasty for failed internal fixation of intertrochanteric fractures. J Arthroplasty. 2004;19(3):329-33. doi: 10.1016/j.arth.2003.10.010. [PubMed: 15067646].
12. Hsu CJ, Chou WY, Chiou CP, Chang WN, Wong CY. Hemi-arthroplasty with supplemental fixation of greater trochanter to treat failed hip screws of femoral intertrochanteric fracture. Arch Orthop Trauma Surg. 2008;128(8):841-5. doi: 10.1007/s00402-007-0483-8. [PubMed: 18034254].
13. Shahrezaee M, Okhovatpour MA, Banasiri M, Sharifzadeh SR. Studying the effects of primary arthroplasty on post-treatment results among elderly patients with pertrochanteric fracture. Clin Pract. 2018;8(1):1055. doi:
10.4081/cp.2018.1055. [PubMed: 29441191]. [PubMed Central: PMC5806500].
14. Grimsrud C, Monzon RJ, Richman J, Ries MD. Cemented hip arthroplasty with a novel cerclage cable technique for unstable intertrochanteric hip fractures. J Arthroplasty. 2005;20(3):337-43. doi: 10.1016/j.arth.2004.04.017. [PubMed: 15809952].
15. Rodop O, Kiral A, Kaplan H, Akmaz I. Primary bipolar hemiprosthesis for unstable intertrochanteric fractures. IntOrthop. 2002;26(4):233-7. doi: 10.1007/s00264-002-0358-0.
[PubMed: 12185526]. [PubMed Central: PMC3620945].
16. Chan KC, Gill GS. Cemented hemiarthroplasties for elderly patients with intertrochanteric fractures. Clin Orthop Relat Res. 2000;(371):206-15. doi: 10.1097/00003086-200002000-00025. [PubMed: 10693568].
17. Parvizi J, Ereth MH, Lewallen DG. Thirty-day mortality following hip arthroplasty for acute fracture. J Bone Joint Surg Am. 2004;86(9):1983-8. doi: 10.2106/00004623-200409000-00017. [PubMed: 15342761].
18. Chen YT, Chen WM, Lee KS, Huang CK, Chiang CC, Chen TH. Diaphyseal locking hip arthroplasty for treatment of failed fixation of intertrochanteric hip fractures. J Arthroplasty.
2008;23(2):241-6.doi: 10.1016/j.arth.2007.03.042. [PubMed: 18280419].
19. Sporer SM, Obar RJ, Bernini PM. Primary total hip arthroplasty using a modular proximally coated prosthesis in patients older than 70: Two to eight year results. J
Arthroplasty. 2004;19(2):197-203. doi: 10.1016/j.arth.2003.08.014. [PubMed: 14973863].
20. Byrick RJ. Cement implantation syndrome: A time limited embolic phenomenon. Can J Anaesth. 1997;44(2):107-11. doi: 10.1007/BF03012996. [PubMed: 9043720].
21. Saleh KJ, Kassim R, Yoon P, Vorlicky LN. Complications of total hip arthroplasty. Am J Orthop (Belle Mead NJ). 2002;31(8):485-8. [PubMed: 12216974].
22. Fallon KM, Fuller JG, Morley-Forster P. Fat embolization and fatal cardiac arrest during hip arthroplasty with methylmethacrylate. Can J Anaesth. 2001;48(7):626-9. doi: 10.1007/BF03016194. [PubMed: 11495867].
23. Brun OL, Sund HN, Nordsletten L, Rohrl SM, Mjaaland KE. Component placement in direct lateral vs minimally invasive anterior approach in total hip arthroplasty: Radiographic outcomes from a prospective randomized controlled trial. J Arthroplasty. 2019;34(8):1718-22. doi: 10.1016/j.arth.2019.04.003. [PubMed: 31053468].
24. Zhen P, Liu J, Li X, Lu H, Zhou S. Primary total hip arthroplasty using an uncemented Wagner SL stem in elderly patients with Dorr type C femoral bone. J Orthop Surg Res. 2019;14(1):377. doi: 10.1186/s13018-019-1421-5. [PubMed: 31752915]. [PubMed Central: PMC6868742].
25. Sonmez MM, Camur S, Erturer E, Ugurlar M, Kara A, Ozturk I. Strategies for proximal femoral nailing of unstable intertrochanteric fractures: Lateral decubitus position or traction table. J Am Acad Orthop Surg. 2017;25(3):e37-e44. doi: 10.5435/JAAOS-D-15-00691. [PubMed: 28134676].
26. Gruss M, Traut R. Management of unstable pertrochanteric and per- to subtrochanteric femoral fractures with the dynamic hip screw. Aktuelle Traumatol. 1992;22(4):144-8. [PubMed: 1357932].
27. Marmor M, Liddle K, Buckley J, Matityahu A. Effect of varus and valgus alignment on implant loading after proximal femur fracture fixation. Eur J Orthop Surg Traumatol. 2016;26(4):379-83. doi: 10.1007/s00590-016-1746-2. [PubMed: 27120073].
28. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: Treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51(4):737-55. [PubMed: 5783851].
29. Parker MJ, Handoll HH. Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Cochrane Database Syst
Rev. 2010;(9):CD000093. doi: 10.1002/14651858.CD000093.pub5. [PubMed: 20824825].
30. Sinno K, Sakr M, Girard J, Khatib H. The effectiveness of primary bipolar arthroplasty in treatment of unstableintertrochanteric fractures in elderly patients. N Am J Med Sci. 2010;2(12):561-8. doi: 10.4297/najms.2010.2561. [PubMed: 22558568]. [PubMed Central: PMC3338223].
31. Choy WS, Ahn JH, Ko JH, Kam BS, Lee DH. Cementless bipolar hemiarthroplasty for unstable intertrochanteric fractures in elderly patients. Clin Orthop Surg. 2010;2(4):221-6. doi: 10.4055/cios.2010.2.4.221. [PubMed: 21119938]. [PubMed Central: PMC2981778].
32. Lee YK, Ha YC, Chang BK, Kim KC, Kim TY, Koo KH. Cementless bipolar hemiarthroplasty using a hydroxyapatite-coated long stem for osteoporotic unstable intertrochanteric fractures. J Arthroplasty. 2011;26(4):626-32. doi: 10.1016/j.arth.2010.05.010. [PubMed: 20637559].
33. Clawson DK. Trochanteric fractures treated by the sliding screw plate fixation method. J Trauma. 1964;4:737-52. doi: 10.1097/00005373-196411000-00001. [PubMed: 14225321].
34. Kyle RF, Gustilo RB, Premer RF. Analysis of six hundred and twenty-two intertrochanteric hip fractures. J Bone Joint Surg Am. 1979;61(2):216-21. [PubMed: 422605].
35. Yong CK, Tan CN, Penafort R, Singh DA, Varaprasad MV. Dynamic hip screw compared to condylar blade plate in the treatment of unstable fragility intertrochanteric fractures. Malays Orthop J. 2009;3(1):13-8.
36. Adams CI, Robinson CM, Court-Brown CM, McQueen MM. Prospective randomized controlled trial of an intramedullary nail versus dynamic screw and plate for intertrochanteric fractures of the femur. J Orthop Trauma. 2001;15(6):394-400. doi: 10.1097/00005131-200108000-00003. [PubMed: 11514765].
37. Fritz T, Hiersemann K, Krieglstein C, Friedl W. Prospective randomized comparison of gliding nail and gamma nail in the therapy of trochanteric fractures. Arch Orthop Trauma Surg. 1999;119(1-2):1-6. doi: 10.1007/s004020050345. [PubMed: 10076936].
38. Yoo JI, Cha YH, Kim KJ, Kim HY, Choy WS, Hwang SC. Comparison between cementless and cemented bipolar
hemiarthroplastyfortreatmentofunstable
intertrochanteric fractures: Systematic review and meta-
analysis. Hip Pelvis. 2018;30(4):241-53. doi: 10.5371/hp.2018.30.4.241. [PubMed: 30534543]. [PubMed Central: PMC6284077].
39. Langslet E, Frihagen F, Opland V, Madsen JE, Nordsletten L, Figved W. Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures: 5-year followup of a randomized trial. Clin Orthop Relat Res. 2014;472(4):1291-9. doi: 10.1007/s11999-013-3308-9. [PubMed: 24081667]. [PubMed Central: PMC3940758].
40. Cankaya D, Ozkurt B, Tabak AY. Cemented calcar replacement versus cementless hemiarthroplasty for unstable
intertrochanteric femur fractures in the elderly. Ulus Travma
Acil Cerrahi Derg. 2013;19(6):548-53. doi:
10.5505/tjtes.2013.57615. [PubMed: 24347215].
41. Berend KR, Lombardi AV, Mallory TH, Dodds KL, Adams JB. Cementless double-tapered total hip arthroplasty in patients 75 years of age and older. J Arthroplasty. 2004;19(3):288-95. doi: 10.1016/j.arth.2003.11.002. [PubMed: 15067639].
42. Pieringer H, Labek G, Auersperg V, Bohler N. Cementless total hip arthroplasty in patients older than 80 years of age. J Bone Joint Surg Br. 2003;85(5):641-5. [PubMed: 12892182].
43. Bohm P, Bischel O. Femoral revision with the Wagner SL revision stem: Evaluation of one hundred and twenty-nine revisions followed for a mean of 4.8 years. J Bone Joint Surg Am. 2001;83(7):1023-31. [PubMed: 11451971].
44. Leung KS, So WS, Shen WY, Hui PW. Gamma nails and dynamic hip screws for peritrochanteric fractures. A randomised prospective study in elderly patients. J BoneJoint Surg Br. 1992;74(3):345-51. [PubMed: 1587874].
45. Haentjens P, Casteleyn PP, De Boeck H, Handelberg F, Opdecam P. Treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients. Primary bipolar arthroplasty compared with internal fixation. J Bone Joint Surg Am. 1989;71(8):1214-25. [PubMed: 2777850].
46. Yoo JI, Ha YC, Lim JY, Kang H, Yoon BH, Kim H. Early rehabilitation in elderly after arthroplasty versus internal fixation for unstable intertrochanteric fractures of femur: Systematic review and meta-analysis. J Korean Med Sci. 2017;32(5):858-67. doi: 10.3346/jkms.2017.32.5.858. [PubMed: 28378562]. [PubMed Central: PMC5383621].
| Files | ||
| Issue | Vol 4, No 3 (2018) | |
| Section | Research Articles | |
| DOI | https://doi.org/10.18502/jost.v4i3.3070 | |
| Keywords | ||
| Hemiarthroplasty; Hip Fracture; Aged | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Zandi R, Karimi A, Sadighi M, Minator Sajjadi M, Okhovatpour MA, Ebrahimpour A, Fazeli M. Primary Long Distal Fitting Bipolar Hemiarthroplasty for Unstable Intertrochanteric Fracture in Elderly Patients. J Orthop Spine Trauma. 2020;4(3):42-47.
