J Korean Fract Soc.  2001 Jan;14(1):16-22.

Treatment of trochanteric fractures of the femur in osteoporotic patients

• Park JT
• So CS
• Byun JY
• You KH
• Hwang HY

Abstract

PURPOSE
To determine more useful method by comparing the functional recovery and postoperative complications according to operative methods in treatment of unstable trochanteric fracture of the femur with osteoporotic bone.
MATERIALS AND METHODS
Of 45 cases with unstable femoral trochanteric fracture with osteoporosis who had been able to ambulate before injury, we compared postoperative functional recovery and complications between 25 cases treated by cemented bipolar hemiarthroplasty and 20 cases treated by dynamic compression hip screw.
RESULTS
Of 45 cases who had been treated by cemented bipolar hemiarthroplasty and dynamic compression hip screw, the functional results, according to the rating scale of Merle d Aubigne were rated as above good in 23 cases and 14 cases, respectively and postoperative mechanical complications were found in 2 cases and 7 cases, respectively. There was statistically significant difference(P<0.05).
CONCLUSION
Unstable trochanteric fracture of the femur with osteoporotic bone treated by cemented bipolar hemiarthroplasty showed good functional results and few mechanical complications for short term follow-up.

Keyword

Femur; trochanteric fracture; osteoporosis; bipolar hemiarthroplasty; dynamic compression hip screw

MeSH Terms

Femur*
Follow-Up Studies
Hemiarthroplasty
Hip
Hip Fractures*
Humans
Methods
Osteoporosis
Postoperative Complications