J Korean Fract Soc.  1996 Apr;9(2):401-408.

Primary Bipolar Hemiarthroplasty Compared with Compression Hip Screw on Treatment of Elderly Unstable Intertrochanteric Fractures

• Lee JI
• Son MH
• Heo SG
• Gwun YH
• Park JH

Abstract

The incidence of intertrochanteric fracture of the femur appears to be increasing, Particularly the more unstable comminuted fracture types are increasing, paralleling increased longevity in the population. Fourteen cases were treated with primary bipolar hemiarthroplasty and eighteen cases were treated with compression hip screw at the Department of Orthopaedic Surgery of Pusan City Medical Center from June 1991. to June 1993. The results obtained were as follows; 1. In the bipolar hemiarthroplasty group, rehabilitation was easier and faster, and the incidences of pressure sore, pulmonary infection & atelectasis were significantly lower. 2. The early walking with full weight bearing that the bipolar hemiarthroplasty made possible is considered to be a major contributing factor to those results.

Keyword

Intertrochanteric fracture; Compression hip screw; Bipolar hemiarthroplasty

MeSH Terms

Aged*
Busan
Femur
Fractures, Comminuted
Hemiarthroplasty*
Hip Fractures*
Hip*
Humans
Incidence
Longevity
Pressure Ulcer
Pulmonary Atelectasis
Rehabilitation
Walking
Weight-Bearing