Clinical and Radiologic Outcomes among Bipolar Hemiarthroplasty, Compression Hip Screw and Proximal Femur Nail Antirotation in Treating Comminuted Intertrochanteric Fractures / 대한고관절학회지
Hip & Pelvis
;
: 30-35, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-7051
ABSTRACT
PURPOSE:
In comminuted intertrochanteric fractures, various operative options have been introduced. The purpose of this study was to determine whether there were differences in clinical and radiologic outcomes among bipolar hemiarthroplasty (BH), compression hip screw (CHS) and proximal femur nail antirotation (PFNA) in treating comminuted intertrochanteric fractures (AO/OTA classification, A2 [22, 23]) MATERIALS ANDMETHODS:
We retrospectively evaluated total 150 patients (BH, 50; CHS, 50; PFNA, 50) who were operated due to intertrochanteric fractures from March 2010 to December 2012 and were older than 65 years at the time of surgery. We compared these three groups for radiologic and clinical outcomes at 12 months postoperatively, including Harris Hip Score, mobility (Koval stage), visual analogue scale and radiologic limb length discrepancy (shortening).RESULTS:
There was no statistical significance among three groups in clinical outcomes including Harris Hip Score, mobility (Koval stage), visual analogue scale. However, there was significant differences in radiologic limb discrepancy in plain radiographs at 12 months postoperatively (radiologic shortening BH, 2.3 mm; CHS, 5.1 mm; PFNA, 3.0 mm; P=0.000).CONCLUSION:
There were no clinical differences among BH, PFNA, and CHS in this study. However, notable limb length shortening could be originated during fracture healing in osteosynthesis, compared to arthroplasty (BH
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artroplastia
/
Estudos Retrospectivos
/
Classificação
/
Consolidação da Fratura
/
Extremidades
/
Fêmur
/
Hemiartroplastia
/
Quadril
/
Fraturas do Quadril
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Inglês
Revista:
Hip & Pelvis
Ano de publicação:
2015
Tipo de documento:
Artigo
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Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artroplastia
/
Estudos Retrospectivos
/
Classificação
/
Consolidação da Fratura
/
Extremidades
/
Fêmur
/
Hemiartroplastia
/
Quadril
/
Fraturas do Quadril
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Inglês
Revista:
Hip & Pelvis
Ano de publicação:
2015
Tipo de documento:
Artigo