Hemi Replacement Arthroplasty for Unstable Inter-Trochanteric Fractures of Femur

Singh, Sudhir; Shrivastava, Chetan; Kumar, Sanjiv

doi:10.7860/jcdr/2014/10171.4972

Cited by 17 publications

(20 citation statements)

References 14 publications

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“…Some studies reported that hip arthroplasty in treating these fractures had more advantages than internal fixations [4], [16], [17], [18], [19]. However, the findings of the present study did not support hemiarthroplasty as a preferred choice when compared with PFNA.…”

Section: Discussioncontrasting

confidence: 86%

Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report

Luo

Zeng

et al. 2017

International Journal of Surgery Case Reports

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HighlightsPFNA is an effective method in treating senile intertrochanteric fractures with low rates of internal fixation failure and related reoperation.Hemiarthroplasty in treating these fractures is associated with greater surgical trauma and higher incidence of postoperative medical complications.Hip arthroplasty should be used as a salvage procedure for internal fixation failure in treating senile intertrochanteric fractures.

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Section: Discussioncontrasting

confidence: 86%

Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report

Luo

Zeng

et al. 2017

International Journal of Surgery Case Reports

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“…In elderly patients, primary cemented BHA for unstable intertrochanteric fractures of the femur has several advantages, such as early ambulation, good functional outcomes, and pain-free hip joint motion. [21] After hip joint reconstruction with BHA, trochanter healing can be a problem.…”

Section: Discussionmentioning

confidence: 99%

Treatment of intertrochanteric femur fractures in the elderly via bipolar hip arthroplasty or proximal femoral nail

Korkmaz¹

2018

South Clin Ist Euras

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Objective: There is a debate about the treatment of intertrochanteric femur fractures in the geriatric population. A proximal femoral nail (PFN), a sliding hip screw, and bipolar hip arthroplasty (BHA) are the most commonly used treatment modalities. The aim of this study was to compare the blood transfusion rate, duration of surgery, and clinical scores of elderly patients treated with cementless BHA and a PFN. Methods:A total of 38 patients with intertrochanteric femur fractures treated with cementless BHA or a PFN between 2012-2016 were evaluated. In all, 20 patients had surgical treatment with cementless BHA and 18 had surgical treatment with a PFN. All of the patients were evaluated with the Harris Hip Score (HHS) at the last control visit. Blood transfusion rates and the duration of surgery were recorded and the values of both groups were compared statistically. Results:The mean HHS was 81.4±10.5 for the BHA group and 83.7±13 for the PFN group. The mean blood transfusion volume was 1.45±0.6 units for the BHA group and 0.33±0.48 units for the group treated with a PFN. The mean duration of surgery for the BHA group was 95±23.1 minutes. In the PFN group, the mean duration of the surgery was 61.8±7.3 minutes. Conclusion:There was a significant difference in the duration of surgery and the blood transfusion volume. The PFN procedure takes less time than BHA, and the blood transfusion volume is smaller. For these reasons, PFN seems to be a better option than BHA.

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“…6 Recent advances in orthopedic surgery allow for the application of advanced implants in unstable intertrochanteric femoral fractures, 7 but the optimal suitability of specific implants for each fracture type has been extensively debated, with many studies favoring intramedullary implants. 8 By contrast, prosthetic replacement in such fractures has not gained widespread support, 5 and locking plates and locking nails are used in clinical practice with varying results. 9 The proximal femoral locking compression plate (PFLCP), introduced in 2007, provides angular stable plate fixation for the treatment of complex comminuted and osteoporotic fractures.…”

Section: Introductionmentioning

confidence: 98%

“…14 Therefore, identification of optimal fixation methods and instrumentation for specific fracture types are essential for improved therapeutic outcomes. 5 The objective of this study was to examine the clinical effects of PFLCP, DHS, and PFNA on unstable intertrochanteric femoral fracture therapy.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4] Poor bone quality, loss of fixation, excessive collapse, and lag screw cut out are frequent complications encountered in treatment of these fractures. 5 The subtrochanteric area of the femur is defined as the region between the lesser trochanter and the junction of the proximal and the middle third of the femur. 6 Recent advances in orthopedic surgery allow for the application of advanced implants in unstable intertrochanteric femoral fractures, 7 but the optimal suitability of specific implants for each fracture type has been extensively debated, with many studies favoring intramedullary implants.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the Clinical Effectiveness of PFNA, PFLCP, and DHS in Treatment of Unstable Intertrochanteric Femoral Fracture

Huang

Chen

Zhang

et al. 2017

American Journal of Therapeutics

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In this study, a randomized trial was conducted to compare the clinical effectiveness of proximal femoral locking compression plate (PFLCP), dynamic hip screw (DHS), and proximal femoral nail antirotation (PFNA) for unstable intertrochanteric femoral fracture treatment. Ninety patients diagnosed with unstable intertrochanteric femoral fracture were enrolled in this study at the department of orthopedics at Linyi Second People's Hospital between May 2010 and May 2012. Fractures were classified according to Tronzo-Evans classification, and the patients were randomly divided into 3 groups, PFLCP, DHS, and PFNA, with 30 patients in each group. The length of incision, operative time, intraoperative blood loss, postoperative drainage, postoperative weight-bearing ambulation time, and duration of fracture union were significantly lower in patients who underwent PFNA and PFLCP compared to patients treated with DHS. Furthermore, when the same clinical parameters were used for comparison, the PFNA group showed markedly lower values compared with the PFLCP group. The total incidence of postoperative complications was significantly different among the PFNA, PFLCP, and DHS groups, with the PFNA group exhibiting markedly lower complication rates compared with PFLCP and DHS groups. However, PFLCP and DHS groups did not show significant differences in the incidence of postoperative complications. Notably, the Harris hip score of PFNA group was markedly higher than the DHS group. In conclusion, our results provide convincing evidence that PFNA may be the most effective internal fixation treatment of unstable intertrochanteric femoral fracture.

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Hemi Replacement Arthroplasty for Unstable Inter-Trochanteric Fractures of Femur

Cited by 17 publications

References 14 publications

Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report

Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report

Treatment of intertrochanteric femur fractures in the elderly via bipolar hip arthroplasty or proximal femoral nail

Comparison of the Clinical Effectiveness of PFNA, PFLCP, and DHS in Treatment of Unstable Intertrochanteric Femoral Fracture

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