Evaluation of cementless bipolar long stem hemiarthroplasty for geriatric intertrochanteric fracture at Viet Duc Hospital
Main Article Content
Abstract
Intertrochanteric fractures can result in high morbidity and mortality rates, especially in the
elderly. Surgeries are usually performed in order to help the patients access early mobility and
to limit the complications. In particular, the cementless bipolar long stem hemiarthroplasty has
shown many advantages. This study describes the clinical characteristics and evaluate the results
of cementless bipolar long stem hemiarthroplasty in 35 patients over 60 years of age who were
diagnosed with intertrochanteric fracture indicated to hemiarthroplasty at Viet Duc Hospital in the
period between January 2013 and January 2018. The average age of the patients was 83.9 ±
6.5, with the majority (65.7%) being 80 to 89 years old. The female/male ratio was 4/1. Chronic
disease was prevalent in 37.1% of the patients, of which 61% were cardiovascular diseases. Most
injuries were due to daily - life accidents (91.4%). Osteoporosis among all patients was grade II
or higher, with grade IV being most common (48.6%). These were all A2 fractures according to
the AO classification, and 91.4% had epiphyseal fit ≥ 90%. Postoperative complications accounted
for 8.7%. The mean Harris score for assessing rehabilitation outcomes was 84.54 ± 16.87.
Article Details
Keywords
intertrochanteric fracture, cementless bipolar long stem hemiarthroplasty, geriatric patients
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