Key result
Primary bipolar hemiarthroplasty is linked to ~56% good or excellent one-year functional outcomes in elderly patients.
Why the study?
Unstable intertrochanteric fractures in elderly patients present a challenging surgical condition with high morbidity and mortality, necessitating evaluation of bipolar arthroplasty as an alternative to internal fixation.
Does cemented bipolar hemi arthroplasty improve functional outcomes in elderly patients with unstable intertrochanteric fractures?
Population
34 elderly patients with unstable intertrochanteric fractures, average age 79.35 years
Comparison
Cemented bipolar hemi arthroplasty as alternative to internal fixation
Design
Prospective observational study
Follow-up
Average 12 months
Authors
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Bipolar arthroplasty may warrant consideration in select elderly patients; leaves open need for randomized trials versus fixation.
Observational (n=34)
No
Does cemented bipolar hemi arthroplasty improve functional outcomes in elderly patients with unstable intertrochanteric fractures?
Cemented bipolar hemi arthroplasty for unstable intertrochanteric fractures in elderly patients provides good functional outcomes and rapid rehabilitation.
Manzoor et al. (2018) conducted an observational in Unstable intertrochanteric fractures (n=34). Primary bipolar hemiarthroplasty was evaluated on Functional results assessed by Harris Hip Score at 1 year. Primary bipolar hemiarthroplasty in elderly patients with unstable intertrochanteric fractures resulted in 25% excellent and 31.25% good functional outcomes at 1-year follow-up.
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