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January 1, 2012Open Journal of OrthopedicsOpen Access

Primary Bipolar Arthroplasty in Unstable Intertrochanteric Fractures in Elderly

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Key result

Primary bipolar hemiarthroplasty for unstable intertrochanteric fractures in elderly patients yielded a mean Harris Hip Score of 78.19, with 48.8% achieving excellent or good clinical outcomes.

Why the study?

Does cemented bipolar hemiarthroplasty improve clinical outcomes in elderly patients with unstable intertrochanteric fractures?

Population

41 elderly patients with unstable intertrochanteric fractures and osteoporosis.

Design

Cohort

Follow-up

12 - 24 months (mean 13.68 months)

Authors

AEAhmed ElmorsyCairo UniversityMSMahmoud SaiedAl-Azhar UniversityMZMahmoud ZaiedAl-Azhar University

Discussion

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Implication

May support early ambulation in select elderly patients; leaves open superiority over fixation in randomized trials.

Study Design

Type

Cohort (n=41)

Structured PICO

Does cemented bipolar hemiarthroplasty improve clinical outcomes in elderly patients with unstable intertrochanteric fractures?

P
Population
41 elderly patients (mean age 72.5 years, 53.7% female) with unstable intertrochanteric fractures and osteoporosis, treated with primary bipolar arthroplasty and followed for 12 to 24 months.
I
Intervention
Cemented bipolar hemiarthroplasty using a modified lateral approach.
O
Outcome
Clinical evaluation using Harris Hip Score (HHS) at 12-24 months follow-up.patient reported

Bipolar hemiarthroplasty for unstable intertrochanteric fractures in the elderly provides reasonable early clinical outcomes and allows for early ambulation.

Limitations

  • Did not take into consideration the preoperative acetabular conditions such as osteoarthritis
  • Short-term follow-up
  • Did not take into consideration preoperative acetabular conditions such as osteoarthritis

Cite This Study

Elmorsy et al. (2012) conducted a cohort in Unstable intertrochanteric fractures (n=41). Primary bipolar arthroplasty was evaluated on Harris Hip Score (HHS). Primary bipolar hemiarthroplasty for unstable intertrochanteric fractures in elderly patients yielded a mean Harris Hip Score of 78.19, with 48.8% achieving excellent or good clinical outcomes.

synapsesocial.com/papers/6a9fef7a603ff62333618f10https://doi.org/10.4236/ojo.2012.21003
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Also Consider

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

  1. 1Treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients. Primary bipolar arthroplasty compared with internal fixation.1989 · 180 citations
  2. 2Cemented Hemiarthroplasties for Elderly Patients With Intertrochanteric Fractures2000 · 137 citations
  3. 3Comminuted Intertrochanteric Fractures Treated with a Leinbach Prosthesis1987 · 97 citations
  4. 4Reverse Obliquity Fractures of the Intertrochanteric Region of the Femur2001 · 389 citations
  5. 5Fall Severity and Bone Mineral Density as Risk Factors for Hip Fracture in Ambulatory Elderly1994 · 580 citations