Primary Cementless Hip Arthroplasty in Unstable Intertrochanteric Femur Fracture in Elderlys: Short-term Results
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Purpose: This study was aimed to explore and report the short term results of primary cementless hiparthroplasty in treatment of unstable intertrochanteric femur fracture in elderlys. Materials and Methods: Between March 2009 and Feburary 2012, 35 arthroplasty cases performed by singlesurgeon and followed up for more than one year were evaluated. They were 21 females and 14 males with meanage of 78 years (range, 71-92 years). Preoperative evaluation was performed by American Society of Anesthesiascore. Retrospective evaluation was performed by operative time, transfusion amount, time to operation days,hospital stay and time to full weight bearing. Clinically, ambulatory ability was checked by Parker and Palmer(P&P) score and function of hip was appraised by Harris hip score (HSS). Radiologically, bone healing offractured trochanteric fragment and presence of subsidence, stress shielding or osteolysis were checked. Results: Fracture type was 11 cases of A2.2, 18 cases of A2.3 and 6 cases of A3.3. Femoral stems used were 8cases of rectangular tapered wedge type and 27 cases of fluted modular distal fixation type. P&P score improvedfrom mean preinjury score of 7.1 to mean postoperative last follow-up score of 6.5. Median HHS at last followupwas 75. Mean time to full weight bearing was 47 days (24-79 days). Postoperative complications were onecase of linear periprosthetic femoral fracture and one case of postoperative dislocation. Conclusion: Cementless hip replacement arthroplasty could be a good option for unstable intertrochantericfemoral fracture in elderlys.
Abstract
Purpose: This study was aimed to explore and report the short term results of primary cementless hiparthroplasty in treatment of unstable intertrochanteric femur fracture in elderlys. Materials and Methods: Between March 2009 and Feburary 2012, 35 arthroplasty cases performed by singlesurgeon and followed up for more than one year were evaluated. They were 21 females and 14 males with meanage of 78 years (range, 71-92 years). Preoperative evaluation was performed by American Society of Anesthesiascore. Retrospective evaluation was performed by operative time, transfusion amount, time to operation days,hospital stay and time to full weight bearing. Clinically, ambulatory ability was checked by Parker and Palmer(P&P) score and function of hip was appraised by Harris hip score (HSS). Radiologically, bone healing offractured trochanteric fragment and presence of subsidence, stress shielding or osteolysis were checked. Results: Fracture type was 11 cases of A2.2, 18 cases of A2.3 and 6 cases of A3.3. Femoral stems used were 8cases of rectangular tapered wedge type and 27 cases of fluted modular distal fixation type. P&P score improvedfrom mean preinjury score of 7.1 to mean postoperative last follow-up score of 6.5. Median HHS at last followupwas 75. Mean time to full weight bearing was 47 days (24-79 days). Postoperative complications were onecase of linear periprosthetic femoral fracture and one case of postoperative dislocation. Conclusion: Cementless hip replacement arthroplasty could be a good option for unstable intertrochantericfemoral fracture in elderlys.
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