Cementless Bipolar Hemiarthroplasty for Treating Intertrochanteric Fracture in Elderly Patients

Lee, Han-Jun; Kim, Jong Won; Lee, Jae-Sung; Yang, Jae June; Hwang, Woo-Young

doi:10.12671/jkfs.2010.23.3.276

Cited by 1 publication

(1 citation statement)

References 19 publications

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“…Kim et al 9) suggested that a rise in the use of BHA in intertrochanteric fractures over 4 years from 6% to 9% resulted from an increase in unstable fractures and osteoporosis with age. To overcome the instability caused by posteromedial bone fragments, Kim et al 21) used a calcar replacement stem, Jones 22) introduced screw fixation of the lesser trochanter, and Lee et al 23) fixed the lesser and greater trochanters through band wiring. These studies reported favorable outcomes.…”

Section: Discussionmentioning

confidence: 99%

The Comparison of Compression Hip Screw and Bipolar Hemiarthroplasty for the Treatment of AO Type A2 Intertrochanteric Fractures

et al. 2014

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PurposeThe purpose of this study was to compare the outcomes of osteosynthesis using compression hip screw fixation versus bipolar hemiarthroplasty in AO type A2 intertrochanteric fractures.Materials and MethodsFrom March 2003 to December 2009, 89 patients were included in this study. They were treated using compression hip screws (43 cases) or bipolar hemiarthroplasty (46 cases). The mean age of patients was 77.7 years (65-94 years) and the mean follow-up period was 5.9 years (1-8.3 years). For comparison of the outcomes in the two groups, statistical analyses were performed with parameters including anesthesia time, operation time, amount of transfusion, hospital stay, general complications, clinical outcome, time of partial weight-bearing using a walker, and radiological failure rate.ResultsDifferences in the amount of transfusion, general complications, and clinical outcome (Merle d'Aubigné and Postel score) were not statistically significant between the two groups. The bipolar hemiarthroplasty group showed better results than the compression hip screw group for anesthesia time and the time of partial weight-bearing using a walker. Radiological failures were observed in hips in one case (2.2%) of bipolar hemiarthroplasty, and in four cases (9.3%) of compression hip screw fixation.ConclusionAmong elderly individuals with AO type A2 intertrochanteric fractures, patients treated with bipolar hemiarthroplasty were able to perform early ambulation. However, no significant difference in operation time, amount of postoperative transfusion, clinical results, hospital stay, and radiological failure rate was observed between the bipolar hemiarthroplasty and compression hip screw fixation groups.

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