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Bipolar Hip Arthroplasty
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DOI：10.1016/j.arth.2011.03.003.png)
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Our aim was to compare hip arthroplasty with internal screw fixation in the repair of intertrochanteric fractures in elderly patients with osteoporosis. Of 112 included patient, 70 (81.81 +/- 4.88 years) received hip arthroplasty with a prosthesis specially designed for intertrochanteric fractures, and 42 (83.46 +/- 5.11 years) underwent plate-screw fixation. The hip arthroplasty group had significantly longer operation time, intraoperative blood loss, and total volume of blood transfused but had shorter time to beginning weight-bearing (5.94 +/- 2.76 vs 23.68 +/- 22.01 clays) and higher postoperative Harris hip score (91.37 +/- 4.80 vs 86.14 +/- 5.46). In the arthroplasty group, there were 2 dislocations; and in the plate-screw fixation group, there were 5 internal fixation failures. Hip arthroplasty is preferable to internal fixation in elderly patients (age > 80 years) with osteoporosis.
Keyword:
advanced age
elderly
hip arthroplasty
internal fixation
intertrochanteric fracture
期刊
IF:
3.8
论文数:
1.2W
被引数:
3.0W
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