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KMID : 0386720050170020076
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Journal of the Korean Hip Society
2005 Volume.17 No. 2 p.76 ~ p.82
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Primary Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fracture of the Femur in Elderly Patients
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Jang Ju-Hae
Sohn Jong-Min
Ha Nan-Kyoung
Cho Seong-Tae
Jeong Ji-Ho
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Abstract
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Purpose: The purpose of this study was to evaluate the effectiveness and advantage of bipolar hemiarthroplasty in the treatment of an unstable femoral intertrochanteric fracture in elderly patients.
Materials and Methods: 54 patients (mean age 74 year old) were reviewed, and followed for more than one year. The subjects were divided into two group, as follows, the Group I (n=34,
Results: Group I patients showed satisfactory results compared to those in Group II using the Merle D’Aubigne hip rating scale. Complications occurred in 2 cases in Group I and 14 in Group II.
Conclusion: It is suggest that bipolar hemiarthroplasty may be used as the first treatment of choice for osteoporotic elderly patients with an unstable intertrochanteric fracture, especially those with combined medical problems or a poor general condition.
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KEYWORD
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Elderly patient, Unstable femoral intertrochanteric fracture, Bipolar hemiarthroplasty
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