J Korean Fract Soc.  2001 Apr;14(2):174-180. 10.12671/jksf.2001.14.2.174.

Treatment of intertrochanteric fractures with bipolar hemiarthroplasty in the elderly

• Kim KH
• Kho DH
• Yang JH
• Kim DH

• KMID: 1999419
• DOI: http://doi.org/10.12671/jksf.2001.14.2.174

Abstract

PURPOSE: To compare the timing of ambulation, complications and functional results between the autogenous femoral head graft and the calcar replacement type stem in the severe comminuted fracture of the elderly patients with unstability.
MATERIALS AND METHODS
25 intertrochanteric femoral fracture patients who had bipolar hemiarthroplasty were followed for more than 1 year. 17 patients had autogenous femoral head graft and 8 patients had calcar replacement type stem. RESULT: The mean operating time for autogenous femoral head graft was 1.7 hours, and calcar replacement type stem was 1.3 hours. Postoperative Harris functional score was 84.1 for the autogenous femoral head graft group and 82.2 for the calcar replacement type stem group. Discussion : Both autogenous femoral head graft augmentation and fixation using the calcar replacement type stem result in rigid fixation, which enables the patients to ambulate early and to have low complication rate. Both techniques seem to be effective for the treatment of intertrochanteric fractures.

Keyword

femur; intertrochanteric fracture; bipolar hemiarthroplasty; autogenous femoral head graft; calcar replacement type stem

MeSH Terms

Aged*
Femoral Fractures
Femur
Fractures, Comminuted
Head
Hemiarthroplasty*
Hip Fractures*
Humans
Transplants
Walking