The Use of an Endoprosthesis for Severely Comminuted Trochanteric Fractures

Tronzo, Raymond G.

doi:10.1016/s0030-5898(20)31027-0

Cited by 28 publications

(7 citation statements)

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“…14,15 Tronzo claimed to be the first to use long, straight-stemmed prosthesis for the primary of intertrochanteric fractures. 16 Stem and Goldstein used the Leinbach prosthesis for the primary treatment of 22 intertrochanteric fractures and found early ambulation and early return to the pre-fracture state as definite advantages. 17 Liang and associates 18 in their study of unstable intertrochanteric fractures concluded that hemiarthroplasty is an effective method to treat unstable intertrochanteric fractures in elderly patients.…”

Section: Resultmentioning

confidence: 99%

“…They can be encouraged to walk early and exercise the involved limb, which reduces the period of bed rest and rate of complications. 11,12 While relative consensus exists about the treatment of femoral neck fractures for elderly patients, the optimal treatment for intertrochanteric fractures is still debatable. 13 This study was aimed to evaluate the outcome of primary hemiarthroplasty by Harris Hip Score in elderly patients with intertrochanteric femur fractures in BIRDEM General Hospital with four years follow-up.…”

Section: Original Articlementioning

confidence: 99%

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Primary Hemiarthroplasty for Per and Intertrochanteric Femur Fractures in Elderly Patients: Our Experience in BIRDEM General Hospital

Hakim

Jahan

Choudhury

et al. 2022

Ibrahim card. med. j.

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Background & objective: Intertrochanteric fractures are becoming increasingly common as our population ages. These fractures typically occur in frail patients with multiple comorbidities The morbidity associated with the fracture can be minimized by choosing appropriate fixation device for the fracture pattern, recognizing the stability of fixation, and performing accurate reduction with ideal implant placement. So, these fractures should be treated expeditiously so that there are minimum fixation failures. In BIRDEM hospital a large number of elderly patients having intertrochanteric femur fractures with multiple comorbidities, are treated by primary hemiarthroplasty. The purpose of this study is to see the clinical outcome of these hemiarthroplasty patients. Methods: This retrospective study was carried out over four years from 2015 to 2019 on 60 patients (42 females and 18 males). All patients had diabetes in common along with other co-morbidities like ischaemic heart disease, hypertension, chronic kidney disease and stroke. The outcome was evaluated by applying Harris Hip Score after intervention. Result: The mean age of the patients was 65.5 years (range: 60-85 years) with male to female ration being 3:7. The mean Harris Hip score at the four-year follow-up was 83.1 ± 10.9. A total of 12(20%) patients were graded as excellent, 30(50%) patients as good, 15(25%) as fair and 3(5%) as poor. It was observed that, patients with AO (Arbeitsgemeinschaft für Osteosynthesefragen) type 31A1 intertrochanteric fractures had better outcome than AO type 31A2 and 31A3 in our study. Conclusion: Primary hemiarthroplasty can provide a stable, pain-free, mobile joint with acceptable complication rates. These fractures must be treated considering patient’s age, bone quality and type of the fracture. Ibrahim Card Med J 2021; 11 (1): 35-40

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Section: Resultmentioning

confidence: 99%

Section: Original Articlementioning

confidence: 99%

Primary Hemiarthroplasty for Per and Intertrochanteric Femur Fractures in Elderly Patients: Our Experience in BIRDEM General Hospital

Hakim

Jahan

Choudhury

et al. 2022

Ibrahim card. med. j.

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“…Hemiarthroplasties can avoid many of the problems associated with internal fixation [2] . Tronzo pioneered the use of prostheses for the primary treatment of comminuted intertrochanteric fractures [3] . In our study average duration of surgery was 101 min and average blood loss was 320 ml.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of results of intertrochanteric femur fracture treated by hemi arthroplasty

Mahida¹,

Patel²,

Patel³

2021

Int. J. Orthop. Sci.

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Purpose of study: To assess functional outcome in patients having unstable intertrochanteric fracture treated by Hemiarthroplasty as per harris hip score. Method: 25 cases of unstable intertrochanteric femur fracture were operated and followed up at Gcs Medical college, Hospital & Research Centre, establishing the following as Inclusion criteria: Patients more than 50 years of age with unstable intertrochanteric femur fracture(AO 31A-2.2 , AO 31A-2.3) presenting primarily or following failed osteosynthesis, who were ambulatory before fracture & Exclusion criteria: Patients who are medically unfit for anesthesia, stable fracture pattern, infection around hip, compound fracture, chronically debilitated and bed bound patient; with informed consent regarding procedure and study. Mean age of patients was 71.12 years. All patients are treated with hemiarthoplasty. Patients are followed up for a mean period of 6 months. Results: These patients were evaluated using the Harris hip scoring system. 22 out of 25 had excellent to good outcomes. Conclusion: Hemiarthoplasty offers good functional outcome and early weight bearing and mobilization.

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“…The significance of intramedullary devices in unstable osteoporotic and severely comminuted intertrochanteric fractures, on the other hand, has yet to be determined. Endoprosthetic replacements have also been found to improve patient rehabilitation and long-term outcomes [33][34][35][36][37] . However, due to the low quality of bone mass, concomitant conditions, and difficulty in rehabilitation of these patients, an appropriate therapeutic technique is still debatable [38] .…”

Section: Introductionmentioning

confidence: 99%

Primary cementless bipolar long stem hemiarthroplasty for unstable osteoporotic intertrochanteric fracture in the elderly patients

Malve¹,

Tathe²,

Singh³

et al. 2022

Int. J. Orthop. Sci.

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Background: Intertrochanteric fracture (ITF) is a major part of fracture in femur. 95% of ITF are found in elderly patients. Osteosynthese is the preferred method of choice. However, elderly patients had osteoporotic, combined with many of chronic disease conditions that increase the rate of osteosynthese failure. Hemiarthroplasty bipolar long-stem is a surgical method that helps patients relieve pain, facilitate early rehabilitation, limit long-term complications, and improve quality of life for patients. Aim: The aim of our study is to evaluate the clinical of the result of primary cementless bipolar long stem hemiarthroplasty in treatment for unstable ITF in the elderly patients. Methods: We retrospectively analyzed 35 cases of primary hemiarthroplasty performed for osteoporotic unstable intertrochanteric fractures (AO/OTA type 31-A2.2 and 31-A2.3 and Evans type III or IV fractures). There were 26 females and 9 males with a mean age of 77.1 years (range, 62-89 years). Results: Mean age of studied subjects was 84.29 ± 6.17, the lowest was 71, the highest was 96; ratio of male/female was 1:288. Follow-up of 33 patients for at least 6 months showed 88.6% caused by a lowenergy injury; Average rehabilitation time was 4.63 ± 1.7 days. The average Harris point at the end was 90.4 ± 4.72. Conclusion: Primary cementless bipolar long stem hemiarthroplasty is one of good choices in treatment of unstable ITF in elderly patients with severe osteoporosis, helped patients improve the quality of life.

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The Use of an Endoprosthesis for Severely Comminuted Trochanteric Fractures

Cited by 28 publications

References 0 publications

Primary Hemiarthroplasty for Per and Intertrochanteric Femur Fractures in Elderly Patients: Our Experience in BIRDEM General Hospital

Primary Hemiarthroplasty for Per and Intertrochanteric Femur Fractures in Elderly Patients: Our Experience in BIRDEM General Hospital

Evaluation of results of intertrochanteric femur fracture treated by hemi arthroplasty

Primary cementless bipolar long stem hemiarthroplasty for unstable osteoporotic intertrochanteric fracture in the elderly patients

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