J Korean Hip Soc 2010; 22(3): 209-215
Published online September 1, 2010
© The Korean Hip Society
Correspondence to : Sung Kwan Hwang MD, Ph.D
Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University, 162 Ilsan-dong,Wonju 220-701, Korea
TEL: +82-33-741-1351 FAX: +82-33-746-7326
E-mail: hwtonlka@yonsei.ac.kr
Purpose: The purpose of this study was to evaluate the usefulness of bipolar hemiarthroplasty using a cemented femoral stem for treating femoral trochanteric region hip fractures in elderly patients.
Materials and Methods: This study includes 47 hips were available to be follow up for over 2 years, between December 1995 and December 2002. Clinical evaluation was done using Koval's classification before the fracture and at last follow-up, and Harris's hip score at the last follow up. Radiological evaluation was done via the plain radiographs.
Results: The Koval classification was as follows: recovery to the condition before fracture in 15 cases (31.9%), degradation by 1 class in 31 cases (66.0%) and degradation by 2 classes in 1 case (2.1%). The Harris hip score was 84.6 points at the last follow-up. All the cases showed stable fixation of the femoral stem. Postoperative complications were reported as 1 case of pneumonia, 1 case of deep vein thrombosis, 1 case of pulmonary thromboembolism, 1 case of pulmonary edema, 3 cases of stress ulcer, 1 case of superficial infection and 1 case of deep infection. Superficial pressure sore occurred in 1 case, postoperative delirium occurred in 9 cases and partial rupture of the bladder in 1 case.
Conclusion: Bipolar hemiarthroplasty using a cemented femoral stem was effective and satisfactory for the treatment of elderly patients with intertrochanter fractures. But further studies that will focus on complications are required.
Keywords Intertrochanter fracture, Cemented stem, Bipolar hemiarthroplasty
J Korean Hip Soc 2010; 22(3): 209-215
Published online September 1, 2010 https://doi.org/10.5371/jkhs.2010.22.3.209
Copyright © The Korean Hip Society.
Sung Kwan Hwang, MD, PhD, Dong Hyun Kang, MD, Tae Yeon Cho, MD, Chang Ho Yi, MD
Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University, Wonju, Korea
Correspondence to:Sung Kwan Hwang MD, Ph.D
Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University, 162 Ilsan-dong,Wonju 220-701, Korea
TEL: +82-33-741-1351 FAX: +82-33-746-7326
E-mail: hwtonlka@yonsei.ac.kr
Purpose: The purpose of this study was to evaluate the usefulness of bipolar hemiarthroplasty using a cemented femoral stem for treating femoral trochanteric region hip fractures in elderly patients.
Materials and Methods: This study includes 47 hips were available to be follow up for over 2 years, between December 1995 and December 2002. Clinical evaluation was done using Koval's classification before the fracture and at last follow-up, and Harris's hip score at the last follow up. Radiological evaluation was done via the plain radiographs.
Results: The Koval classification was as follows: recovery to the condition before fracture in 15 cases (31.9%), degradation by 1 class in 31 cases (66.0%) and degradation by 2 classes in 1 case (2.1%). The Harris hip score was 84.6 points at the last follow-up. All the cases showed stable fixation of the femoral stem. Postoperative complications were reported as 1 case of pneumonia, 1 case of deep vein thrombosis, 1 case of pulmonary thromboembolism, 1 case of pulmonary edema, 3 cases of stress ulcer, 1 case of superficial infection and 1 case of deep infection. Superficial pressure sore occurred in 1 case, postoperative delirium occurred in 9 cases and partial rupture of the bladder in 1 case.
Conclusion: Bipolar hemiarthroplasty using a cemented femoral stem was effective and satisfactory for the treatment of elderly patients with intertrochanter fractures. But further studies that will focus on complications are required.
Keywords: Intertrochanter fracture, Cemented stem, Bipolar hemiarthroplasty
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