Treatment of femoral unstable intertrochanteric fractures in the elderly with uncemented long stem bipolar prosthetic prosthesis.
- Author:
Jian LUO
1
;
Shan-cheng GUO
;
Zhi-yong HUANG
;
Wei-feng WU
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip; instrumentation; methods; Female; Hip Fractures; surgery; Hip Prosthesis; Humans; Male; Retrospective Studies; Treatment Outcome
- From: Journal of Southern Medical University 2010;30(7):1685-1687
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the effect of cemented long stem bipolar prosthetic prosthesis in the management of unstable intertrochanteric fractures in the elderly.
METHODSA retrospective analysis of 23 elderly cases of uncemented long-stem prosthetic replacement for unstable intertrochanteric fractures was conducted. Of the 23 elderly patients, 6 had type IIA fracture by Evans-Jenson classification, 11 had type IIB fractures, and 6 had type III fractures.
RESULTSOne patient died due to severe respiratory failure during the follow-up period. The patients were followed up for 6 to 10 months (mean 15 months), and no dislocation, infection, loosening or sinking of the prosthesis was found in the followed-up cases with a Harris score reaching 84.8.
CONCLUSIONCemented long-stem bipolar prosthetic prosthesis replacement is effective for management of unstable intertrochanteric fractures in the elderly.