Bipolar Hemiarthroplasty in Unstable Intertrochanteric Fractures in Elderly: A Prospective Study

Gn, Kiran Kumar; Meena, Sanjay Kumar; N, Vijaya Kumar; Manjunath, Shaurya; Mk, Vinaya Raj

doi:10.7860/jcdr/2013/5486.3228

Cited by 21 publications

(19 citation statements)

References 15 publications

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“…One advantage of primary arthroplasty in treating these fractures is to avoid the postoperative complications caused by internal fixation failure [5]. Nevertheless, in the present study, no significant difference was observed between the two methods concerning orthopaedic complications and reoperation rate.…”

Section: Discussioncontrasting

confidence: 66%

Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report

Luo

Zeng

et al. 2017

International Journal of Surgery Case Reports

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HighlightsPFNA is an effective method in treating senile intertrochanteric fractures with low rates of internal fixation failure and related reoperation.Hemiarthroplasty in treating these fractures is associated with greater surgical trauma and higher incidence of postoperative medical complications.Hip arthroplasty should be used as a salvage procedure for internal fixation failure in treating senile intertrochanteric fractures.

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Section: Discussioncontrasting

confidence: 66%

Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report

Luo

Zeng

et al. 2017

International Journal of Surgery Case Reports

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“…There were 19 studies that used cemented stem, 14 that used cementless stem, and two comparative studies that used both stems. Eleven studies were prospective studies, which used methods with wires, cables, and sutures for fixation of fracture fragments 1 2 4 11 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42) .…”

Section: Resultsmentioning

confidence: 99%

Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis

et al. 2018

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PurposeThis 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 MethodsSystematic 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.ResultsThere 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).ConclusionCemented 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.

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“…Most surgeons preferred the cerclage with stainless steel wires or cables, while some preferred plate and screws or suturing. [24] The former technique was reported possible to develop breakage of steel wires and nonunion postoperatively. [25] A retrospective study reported a cable breakage rate of 12.8% (5 out of 39) in osteoporotic patients with intertrochanteric fracture who underwent hip replacement with cerclage fixation for the proximal femoral fragments.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Kirschner-wires and tension band in hip arthroplasty for aged patients with unstable intertrochanteric osteoporotic fracture

Zhang

Xu²,

Zhou³

et al. 2017

Medicine

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Bipolar Hemiarthroplasty in Unstable Intertrochanteric Fractures in Elderly: A Prospective Study

Cited by 21 publications

References 15 publications

Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report

Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report

Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis

Efficacy of Kirschner-wires and tension band in hip arthroplasty for aged patients with unstable intertrochanteric osteoporotic fracture

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