KMID : 0361620120470020079
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Journal of the Korean Orthopaedic Association 2012 Volume.47 No. 2 p.79 ~ p.85
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Bipolar Hemiarthroplasty with Cementless Femoral Stem for Unstable Intertrochanteric Fractures
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Lee Joong-Myung
Nam Hee-Tae Lee Sang-Hun
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Abstract
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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.
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KEYWORD
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unstable intertrochanteric fracture of femur, cementless femoral stem, wire fi xation
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