J Korean Fract Soc.  2003 Jan;16(1):22-28.

Bipolar Hemiarthroplasty Using Calcar Replacement Stem for Unstable Intertrochanteric Fractures in Elderly Patients

• Kho DH
• Kim KH
• Shin JY
• Lim SW
• Kim DH

Abstract

PURPOSE: The purpose of this paper is to analyze the operating time, timing of ambulation, functional results and complications using the calcar replacement stem for the severely comminuted unstable intertrochanteric fractures in the elderly patients.
MATERIALS AND METHODS
From August 1991 through January 2001, 20 elderly patients over the 75 year old patients had undergone bipolar hemiarthroplasty with calcar replacement stem for the treatment of unstable intertrochanteric fractures.
RESULTS
The mean operating time was 45 minutes and mean Harris Hip Score was 84.7. Ambulation with walker was started at post-operative 8 days and full weight bearing was 6.9 weeks, each. Complications were 2 cases of wound infection, 1 case of severe thigh pain and 1 case of dislocation.
CONCLUSION
Early ambulation, functional restoration and decrease of the complications with bipolar hemiarthroplasty using calcar replacement stem for severely comminuted unstable intertrochanteric fractures in elderly patients, therefore this methods seems to be one of the effective treatments.

Keyword

femur; intertrochanteric fracture; bipolar hemiarthroplasty; calcar replacement stem

MeSH Terms

Aged*
Dislocations
Early Ambulation
Femur
Hemiarthroplasty*
Hip
Hip Fractures*
Humans
Thigh
Walkers
Walking
Weight-Bearing
Wound Infection