Key result
Bipolar hemiarthroplasty resulted in better Harris Hip Scores at 6 months compared to proximal femoral nail, but there was no significant difference in functional outcomes between the groups at one year (76.98 vs 79.71, p=0.061).
Why the study?
Proximal femoral nail (PFN) and bipolar hemiarthroplasty (BPH) are widely used for intertrochanteric femur fractures, but a direct comparison depending on patient risk factors was needed.
Does proximal femoral nail improve functional outcomes and clinical parameters compared to bipolar hemiarthroplasty in patients with intertrochanteric femur fractures?
Cohort (n=89)
No
Does proximal femoral nail improve functional outcomes and clinical parameters compared to bipolar hemiarthroplasty in patients with intertrochanteric femur fractures?
Absolute Event Rate: 76.98% vs 79.71%
p-value: p=0.061
In patients with intertrochanteric femur fractures, bipolar hemiarthroplasty provides better early functional scores at 6 months, but proximal femoral nail and bipolar hemiarthroplasty offer comparable functional outcomes at 1 year.
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Aygün et al. (2022) conducted a cohort in femoral intertrochanteric fractures (n=89). Proximal femoral nail vs. Bipolar hemiarthroplasty was evaluated on Harris Hip Score at 12 months (p=0.061). Bipolar hemiarthroplasty resulted in better Harris Hip Scores at 6 months compared to proximal femoral nail, but there was no significant difference in functional outcomes between the groups at one year (76.98 vs 79.71, p=0.061).
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