Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes
Journal Title: Turkish Journal of Osteoporosis - Year 2021, Vol 27, Issue 1
Abstract
Objective: Hip fracture treatment in elderly patients remains challenging. This study aimed to evaluate short-term clinical results of long-stem cementless arthroplasty in elderly patients with femoral neck and intertrochanteric fractures. Materials and Methods: We collected data of patients we treated with long-stem cementless arthroplasty between January 2011 and December 2019 due to hip fractures. This study included 48 patients (≥65 years of age) with femoral neck and intertrochanteric fractures. The patients underwent either bipolar or total hip arthroplasty. A 2-year follow-up was conducted in all the patients. Outcomes were evaluated with the Harris hip score (HHS), Koval categories, complications and hip and mid-thigh pain. We compared clinical results of patients with femoral neck fractures and those with intertrochanteric fractures. Results: The mean follow-up period was 57 (34-92) months. Sixteen patients had femoral neck fractures and 32 had intertrochanteric fractures. No difference in demographic characteristics and comorbidities was noted between groups. The mean preoperative Barthel index of activities of daily living score was 79. At the last follow-up, the mean HHS of the control group was 77 and the mean Koval categories score was 3. Revision surgeries were conducted in two patients due to dislocation. Infection was observed in one patient and was treated by debridement and anti-biotherapy. Implant loosening and periprosthetic fractures were not noted. Conclusion: With fair outcomes, long-stem cementless arthroplasty is a potential treatment for hip fractures in elderly patients. A longer follow-up to evaluate the efficacy of these prostheses is warranted.
Authors and Affiliations
Çağdaş Biçen, Mehmet Akdemir, Mehmet Aykut Türken, Kübra Çekok
The Level of Osteoporosis Knowledge and the Related Factors Among Women Who Attended İskenderun Public Education Center Courses
Objective: This study aimed to evaluate the levels of osteoporosis knowledge and self-efficacy and the related factors. Materials and Methods: The study was conducted with 419 women aged between 19 and 60 years who atte...
A Rare Cause of Acute Paraplegia: Aneurysmal Bone Cyst
Aneurysmal bone cyst of the spine can rarely cause acute paraplegia in young patients. A 30-year-old male patient presented to our physical medicine and rehabilitation outpatient clinic with back pain and bilateral lower...
Knowledge Level and Awareness About Calcium Deficiency, Vitamin D Deficiency and Osteoporosis Among Physical Therapy and Rehabilitation School Students
Objective: To evaluate knowledge and awareness levels about deficiencies of calcium and vitamin D, and osteoporosis among physiotherapy students. Materials and Methods: A questionnaire consisting of 33 questions was app...
The Effects of Sugammadex on Vitamin D Levels in Rabbits Under General Anesthesia
Objective: Sugammadex is a widely used anesthetic agent for reversing of the non-depolarizing block. It reduces blood levels of steroid compounds by encapsulation. The aim of this study was to investigate the effect of s...
Factors Affecting Bone Mineral Density in Male Patients with Primary Progressive Multiple Sclerosis
Objective: Osteoporosis (OP) is one of the most frequent metabolic bone disorders worldwide, male OP is still underestimated and undertreated. Primary progressive multiple sclerosis (PPMS) is considered as an important c...