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September 1, 1989Journal of Bone and Joint Surgery

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

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Why the study?

Does primary bipolar arthroplasty improve functional outcomes and reduce complications compared to internal fixation in elderly patients with unstable intertrochanteric or subtrochanteric fractures?

Population

79 patients >75 years old with an unstable intertrochanteric or subtrochanteric fracture

Comparison

Primary bipolar arthroplasty vs Internal fixation (retrospective control group)

Design

Cohort

Authors

PHPatrick HaentjensUniversity of Maryland, BaltimorePCPierre CasteleynVrije Universiteit BrusselHBHugo De BoeckJungheinrich (Germany)

Discussion

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Implication

May reduce complications in elderly hip fractures; leaves open functional superiority versus fixation pending RCTs.

Structured PICO

Does primary bipolar arthroplasty improve functional outcomes and reduce complications compared to internal fixation in elderly patients with unstable intertrochanteric or subtrochanteric fractures?

P
Population
79 patients >75 years old with an unstable intertrochanteric or subtrochanteric fracture (37 in prospective group, 42 in retrospective control group)
I
Intervention
Primary bipolar arthroplasty
C
Comparator
Internal fixation (retrospective control group)
O
Outcome
Functional results according to the rating scale of Merle d'Aubigné

Primary bipolar arthroplasty allows for early full weight-bearing and reduces complications compared to internal fixation in elderly patients with unstable hip fractures.

Cite This Study

Haentjens et al. (1989) studied this question.

synapsesocial.com/papers/6a717d1efe4101aa97e098b1https://doi.org/10.2106/00004623-198971080-00015
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Primary Bipolar Arthroplasty in Unstable Intertrochanteric Fractures in Elderly2012 · 23 citations
  2. 2Primary bipolar replacement arthroplasty versus internal fixation in the management of unstable intertrochanteric fractures in the elderly2019 · 2 citations
  3. 3Early results of primary bipolar hemi arthroplasty in treatment of unstable intertrochanteric fractures in elderly patients: A prospective study2018 · 1 citations
  4. 4Unstable intertrochanteric fracture in elderly treated with bipolar hemiarthroplasty: A prospective case series2014 · 9 citations
  5. 5Unstable intertrochanteric fractures in high risk elderly patients treated with primary bipolar hemiarthroplasty: Retrospective case series2019 · 8 citations