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.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-7051
Biblioteca responsable:
WPRO
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:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Artroplastia
/
Estudios Retrospectivos
/
Clasificación
/
Curación de Fractura
/
Extremidades
/
Fémur
/
Hemiartroplastia
/
Cadera
/
Fracturas de Cadera
Tipo de estudio:
Estudio observacional
Límite:
Humanos
Idioma:
Inglés
Revista:
Hip & Pelvis
Año:
2015
Tipo del documento:
Artículo
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Artroplastia
/
Estudios Retrospectivos
/
Clasificación
/
Curación de Fractura
/
Extremidades
/
Fémur
/
Hemiartroplastia
/
Cadera
/
Fracturas de Cadera
Tipo de estudio:
Estudio observacional
Límite:
Humanos
Idioma:
Inglés
Revista:
Hip & Pelvis
Año:
2015
Tipo del documento:
Artículo