Treatment of Intertrochanteric Femur Fractures in the Elderly via Bipolar Hip Arthroplasty or Proximal Femoral Nail
INTRODUCTION[|]There is a debate about the treatment of intertrochanteric femur fractures in the geriatric population. A proximal femoral nail (PFN), a sliding hip screw, and bipolar hip arthroplasty (BHA) are the most commonly used treatment modalities. The aim of this study was to compare the bloo...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
KARE Publishing
2018-07-01
|
| Series: | Southern Clinics of Istanbul Eurasia |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-76476 |
| _version_ | 1797914988481871872 |
|---|---|
| author | Özgür Korkmaz Yıldıray Genç |
| author_facet | Özgür Korkmaz Yıldıray Genç |
| author_sort | Özgür Korkmaz |
| collection | DOAJ |
| description | INTRODUCTION[|]There is a debate about the treatment of intertrochanteric femur fractures in the geriatric population. A proximal femoral nail (PFN), a sliding hip screw, and bipolar hip arthroplasty (BHA) are the most commonly used treatment modalities. The aim of this study was to compare the blood transfusion rate, duration of surgery, and clinical scores of elderly patients treated with cementless BHA and a PFN.[¤]METHODS[|]A total of 38 patients with intertrochanteric femur fractures treated with cementless BHA or a PFN between 2012–2016 were evaluated. In all, 20 patients had surgical treatment with cementless BHA and 18 had surgical treatment with a PFN. All of the patients were evaluated with the Harris Hip Score (HHS) at the last control visit. Blood transfusion rates and the duration of surgery were recorded and the values of both groups were compared statistically.[¤]RESULTS[|]The mean HHS was 81.4+-10.5 for the BHA group and 83.7+-13 for the PFN group. The mean blood transfusion volume was 1.45+-0.6 units for the BHA group and 0.33+-0.48 units for the group treated with a PFN. The mean duration of surgery for the BHA group was 95+-23.1 minutes. In the PFN group, the mean duration of the surgery was 61.8+-7.3 minutes.[¤]DISCUSSION AND CONCLUSION[|]There was a significant difference in the duration of surgery and the blood transfusion volume. The PFN procedure takes less time than BHA, and the blood transfusion volume is smaller. For these reasons, PFN seems to be a better option than BHA.[¤] |
| first_indexed | 2024-04-10T12:34:42Z |
| format | Article |
| id | doaj.art-f08d31971d554dc19a61aa14a6fbf11f |
| institution | Directory Open Access Journal |
| issn | 2587-0998 |
| language | English |
| last_indexed | 2024-04-10T12:34:42Z |
| publishDate | 2018-07-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Southern Clinics of Istanbul Eurasia |
| spelling | doaj.art-f08d31971d554dc19a61aa14a6fbf11f2023-02-15T16:14:43ZengKARE PublishingSouthern Clinics of Istanbul Eurasia2587-09982018-07-0129211511910.14744/scie.2018.76476SCIE-76476Treatment of Intertrochanteric Femur Fractures in the Elderly via Bipolar Hip Arthroplasty or Proximal Femoral NailÖzgür Korkmaz0Yıldıray Genç1Department of Orthopedics and Traumatology, Medicalpark Pendik Hospital, İstanbul, TurkeyDepartment of Orthopedics and Traumatology, Or-Ahayim Balat Hospital, İstanbul, TurkeyINTRODUCTION[|]There is a debate about the treatment of intertrochanteric femur fractures in the geriatric population. A proximal femoral nail (PFN), a sliding hip screw, and bipolar hip arthroplasty (BHA) are the most commonly used treatment modalities. The aim of this study was to compare the blood transfusion rate, duration of surgery, and clinical scores of elderly patients treated with cementless BHA and a PFN.[¤]METHODS[|]A total of 38 patients with intertrochanteric femur fractures treated with cementless BHA or a PFN between 2012–2016 were evaluated. In all, 20 patients had surgical treatment with cementless BHA and 18 had surgical treatment with a PFN. All of the patients were evaluated with the Harris Hip Score (HHS) at the last control visit. Blood transfusion rates and the duration of surgery were recorded and the values of both groups were compared statistically.[¤]RESULTS[|]The mean HHS was 81.4+-10.5 for the BHA group and 83.7+-13 for the PFN group. The mean blood transfusion volume was 1.45+-0.6 units for the BHA group and 0.33+-0.48 units for the group treated with a PFN. The mean duration of surgery for the BHA group was 95+-23.1 minutes. In the PFN group, the mean duration of the surgery was 61.8+-7.3 minutes.[¤]DISCUSSION AND CONCLUSION[|]There was a significant difference in the duration of surgery and the blood transfusion volume. The PFN procedure takes less time than BHA, and the blood transfusion volume is smaller. For these reasons, PFN seems to be a better option than BHA.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-76476bipolar hip arthroplastyintertrochanteric femur fracture; proximal femoral nail. |
| spellingShingle | Özgür Korkmaz Yıldıray Genç Treatment of Intertrochanteric Femur Fractures in the Elderly via Bipolar Hip Arthroplasty or Proximal Femoral Nail Southern Clinics of Istanbul Eurasia bipolar hip arthroplasty intertrochanteric femur fracture; proximal femoral nail. |
| title | Treatment of Intertrochanteric Femur Fractures in the Elderly via Bipolar Hip Arthroplasty or Proximal Femoral Nail |
| title_full | Treatment of Intertrochanteric Femur Fractures in the Elderly via Bipolar Hip Arthroplasty or Proximal Femoral Nail |
| title_fullStr | Treatment of Intertrochanteric Femur Fractures in the Elderly via Bipolar Hip Arthroplasty or Proximal Femoral Nail |
| title_full_unstemmed | Treatment of Intertrochanteric Femur Fractures in the Elderly via Bipolar Hip Arthroplasty or Proximal Femoral Nail |
| title_short | Treatment of Intertrochanteric Femur Fractures in the Elderly via Bipolar Hip Arthroplasty or Proximal Femoral Nail |
| title_sort | treatment of intertrochanteric femur fractures in the elderly via bipolar hip arthroplasty or proximal femoral nail |
| topic | bipolar hip arthroplasty intertrochanteric femur fracture; proximal femoral nail. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-76476 |
| work_keys_str_mv | AT ozgurkorkmaz treatmentofintertrochantericfemurfracturesintheelderlyviabipolarhiparthroplastyorproximalfemoralnail AT yıldıraygenc treatmentofintertrochantericfemurfracturesintheelderlyviabipolarhiparthroplastyorproximalfemoralnail |