Key result
Bipolar hemiarthroplasty is linked to fewer mechanical and general complications versus PFNA in elderly patients.
Why the study?
Does bipolar hemiarthroplasty improve clinical outcomes and reduce complications compared to PFNA in elderly patients with unstable intertrochanteric fractures?
Observational
Does bipolar hemiarthroplasty improve clinical outcomes and reduce complications compared to PFNA in elderly patients with unstable intertrochanteric fractures?
p-value: p=0.01
Bipolar hemiarthroplasty is an effective treatment for unstable femoral intertrochanteric fractures in elderly patients, offering better clinical outcomes and fewer complications than PFNA.
Bipolar hemiarthroplasty was associated with earlier weight bearing and shorter stays; hypothesis-generating and requires prospective trials versus PFNA.
Results: The volume of blood loss during the operation was statistically lesser in the PFNA group (P<0.05) and operation time was not statistically different between the two groups (p=0.73). The bipolar hemiarthroplasty group showed a statistically better outcome than the PFNA group in the beginning of weight bearing (p<0.05), the hospital stay (p<0.05). The degradations of Koval score and modified Harris hip score of the bipolar hemiarthroplasty group were statistically better than those of the PFNA group (p=0.03, p=0.02). The bipolar hemiarthroplasty group showed a statistically lower incidence of mechanical(9.1%, p=0.01) and general(12.1%, p=0.00) complications than the PFNA group. Conclusion: In elderly patients, bipolar hemiarthroplasty is thought to be one of the effective treatments for unstable femoral intertrochanteric fracutures when considering complications and clinical outcomes.
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Kim et al. (2012) conducted an observational in Unstable intertrochanteric fractures. Bipolar hemiarthroplasty vs. Proximal Femur Nail Anti-rotation (PFNA) was evaluated on Mechanical complications (p=0.01). Bipolar hemiarthroplasty resulted in a lower incidence of mechanical (9.1%, p=0.01) and general (12.1%, p=0.00) complications compared to PFNA in elderly patients.
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