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KMID : 0386720040160040441
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Journal of the Korean Hip Society
2004 Volume.16 No. 4 p.441 ~ p.446
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Bipolar Hemiarthroplasty using the Greater Trochanter Reattachment Device (GTRD) for Comminuted Intertrochanteric Fracture in Elderly Patients
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Kim Jin-Hak
Lee Song
Jeong Soon-Young
Park Joon-Seong
Seo Youn-Hyung
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Abstract
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Purpose: This study was performed to analyze the outcome of cemented bipolar hemiarthroplasty using the greater trochanter reattachment device (GTRD) for comminuted intertrochanteric fracture in elderly patients.
Materials and Methods: From January 2001 to January 2002, 12 patients 75 years or older underwent cemented bipolar hemiarthroplasty using GTRD for comminuted intertrochanteric fracture. They were followed up for more than one year and six months. We evaluated the postoperative Harris hip score (HHS) and their daily activities of life, and we assessed radiological results using Barrack´s cement score.
Results: The mean postoperative HHS was 72 points. In rating the daily activity of life, nine of the patients postoperative results were above fair. According to Barrack`s cement scoring system, eight patients had excellent or good radiologic results. One patient had a hip dislocation that was successfully managed by closed reduction and an abduction brace.
Conclusion: In spite of its known limitations, cemented bipolar hemiarthroplasty using GTRD is a useful treatment method for comminuted intertrochanteric fractures.
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KEYWORD
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Femur, Intertrochanteric fracture, Greater trochanter reattachment device, Bipolar hemiarthroplasty
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