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KMID : 0361620120470020079
Journal of the Korean Orthopaedic Association
2012 Volume.47 No. 2 p.79 ~ p.85
Bipolar Hemiarthroplasty with Cementless Femoral Stem for Unstable Intertrochanteric Fractures
Lee Joong-Myung

Nam Hee-Tae
Lee Sang-Hun
Abstract
Purpose: The purpose of this study was to evaluate the usefulness of bipolar hemiarthroplasty using a cementless femoral stem for treating unstable intertrochanteric fractures in elderly patients.

Materials and Methods : This study included 41 hips of 41 patients who were followed up for over 2 years after bipolar hemiarthroplasty using cementless femoral stem between October 2006 and November 2008. The mean follow-up period was 33 months (24-42 months).

Results: At the last follow-up, the mean Harris hip score was 81.3 points. All stems were stable without signifi cant changes in alignment or progressive subsidence. There were no cases of leg length discrepancy over 5 mm. There were 3 cases of wire fi xation breakage and 1 case of posterior hip dislocation.

Conclusion: The short-term results over 2 years of clinical and radiological evaluation of cementless bipolar hemiarthroplasty and wire fi xation were satisfactory in elderly patients with unstable intertrochanteric fracture.
KEYWORD
unstable intertrochanteric fracture of femur, cementless femoral stem, wire fi xation
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