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January 1, 2014The Egyptian Orthopaedic Journal

Primary cemented hemiarthroplasty for unstable intertrochanteric fractures in elderly: an intermediate follow-up

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Key result

Primary cemented hip hemiarthroplasty for unstable intertrochanteric fractures yielded excellent (37%) or good (44.5%) Harris hip scores at an average 4-year follow-up, with no major complications.

Why the study?

Does primary cemented hip hemiarthroplasty improve functional outcomes and satisfaction in elderly patients with unstable osteoporotic intertrochanteric fractures?

Population

27 elderly patients (all above the age of 70 years) with unstable osteoporotic intertrochanteric fractures

Design

Cohort

Follow-up

average 4 years (range: 3.5-5.5)

Authors

AAAhmad Allam

Discussion

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Implication

May support favorable functional outcomes with primary cemented hemiarthroplasty in elderly unstable intertrochanteric fractures; leaves open need for randomized confirmation.

Study Design

Type

Cohort (n=27)

Structured PICO

Does primary cemented hip hemiarthroplasty improve functional outcomes and satisfaction in elderly patients with unstable osteoporotic intertrochanteric fractures?

P
Population
27 elderly patients (age >70 years) with unstable intertrochanteric fractures managed with primary cemented hip hemiarthroplasty, followed for an average of 4 years.
E
Exposure
Primary cemented hip hemiarthroplasty
O
Outcome
Harris hip score and patients' satisfactionpatient reported

Primary cemented hemiarthroplasty in elderly patients with unstable intertrochanteric fractures yields good to excellent functional results with a low major complication rate.

Cite This Study

Ahmad Allam (2014) conducted a cohort in unstable osteoporotic intertrochanteric fractures (n=27). Primary cemented hip hemiarthroplasty was evaluated on Harris hip score and patients' satisfaction. Primary cemented hip hemiarthroplasty for unstable intertrochanteric fractures yielded excellent (37%) or good (44.5%) Harris hip scores at an average 4-year follow-up, with no major complications.

synapsesocial.com/papers/6a9fefb3dc8f40e47bd4c70chttps://doi.org/10.4103/1110-1148.145303
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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. 2Comminuted Intertrochanteric Fractures Treated with a Leinbach Prosthesis1987 · 97 citations
  3. 3THE TREATMENT OF TROCHANTERIC FRACTURES OF THE FEMUR1949 · 518 citations
  4. 4Cemented Hemiarthroplasties for Elderly Patients With Intertrochanteric Fractures2000 · 137 citations
  5. 5Treatment of Unstable Peritrochanteric Fractures in Elderly Patients with a Compression Hip Screw or with the Vandeputte (VDP) Endoprosthesis: A Prospective Randomized Study1995 · 91 citations