Treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients. Primary bipolar arthroplasty compared with internal fixation.

Haentjens, Patrick; Casteleyn, Pierre; Boeck, Hugo De; Handelberg, Frank; Opdecam, Pierre

doi:10.2106/00004623-198971080-00015

Cited by 167 publications

(168 citation statements)

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“…Bone formation around the extramedullary part of the femoral component is an interesting observation which was also reported by Haentjens et al (1989). It may be caused by viable periosteum and preservation of vascularized bone fragments around the extramedullary part of the stem.…”

Section: Discussionmentioning

confidence: 53%

Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty:Complications in a 2–11 year follow-up study in 19 elderly patients

Haentjens¹,

Boeck²,

Opdecam³

1996

Acta Orthopaedica Scandinavica

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Section: Discussionmentioning

confidence: 53%

Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty:Complications in a 2–11 year follow-up study in 19 elderly patients

Haentjens¹,

Boeck²,

Opdecam³

1996

Acta Orthopaedica Scandinavica

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“…14,15 Artroplasti genel olarak çivi ile kırık fiksasyonuna nispetle daha büyük bir cerrahi işlem olup, daha fazla kan kaybı ile sonuçlanır. Dış ülke-lerde artroplasti daha yüksek implant maliyetine sahipken ülkemizde hemiartroplasti maliyeti kırık fiksasyonuna yakın hatta daha ucuz hale gelmiştir.…”

Section: Discussionunclassified

The clinical outcomes of hemiarthroplasty and proximal femoral nail (PFN) fixation of unstable intertrochanteric femoral fractures in patients over 70 years old

İnanmaz¹,

Köse²,

Cebesoy³

et al. 2011

Sakarya Med J

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Aim: To evaluate the clinical outcomes of proximal femoral nail and hemiarthroplasty in terms of functional results, morbidity and complications in patients over 70 years old who had unstable intertrochanteric femur fractures. Material and Methods: Twety five patients operated between 2007-2011 in three institutions were included in this study. Twelve underwent PFN fixation and 13 had hemiarthroplasty. The mean follow-up was 23 months. There were 14 men and 121 women. Both groups were compared in terms of operation time, blood loss, early and late complications, length of hospital stay (LOS) and Haris hip scores. Findings: Operation time was less in the hemiarthroplasty group but the blood loss was lower in the PFN group. (p<0.05) LOS was similar in both groups. (p>0.05). The only early PFN complication was fixation loss. The late complication in the hemiarthroplasty group was osteolysis. The Harris hip scores were better in favor of the hemiarthroplasty group. Conclusion: PFN fixation without anatomic reduction causes more complications and secondary operations in this population. Anatomically reduced PFN fixation and hemiarthroplasty gives comparable clinical and functional results.

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“…New high-strength cements that are susceptible to remodeling and replacement by host bone for fracture fixation may lead to improved clinical outcome in the treatment of these fractures [6]. To allow immediate postoperative full weight bearing, some surgeons have alternatively recommended prosthetic replacements [1,[6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

“…Recent publications indicate concern with excessive sliding of these fixation devices when used in unstable intertrochanteric fractures, especially in osteopenic individuals. The excessive sliding can result in unacceptable shortening and external rotation deformity of the limb with poor function [1,[5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Use of a modified IMHS for unstable intertrochanteric fractures

Maniscalco

Bertone

Rivera

et al. 2002

J Orthopaed Traumatol

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Treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients. Primary bipolar arthroplasty compared with internal fixation.

Cited by 167 publications

References 0 publications

Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty:Complications in a 2–11 year follow-up study in 19 elderly patients

Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty:Complications in a 2–11 year follow-up study in 19 elderly patients

The clinical outcomes of hemiarthroplasty and proximal femoral nail (PFN) fixation of unstable intertrochanteric femoral fractures in patients over 70 years old

Use of a modified IMHS for unstable intertrochanteric fractures

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