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
Keywords
Related Articles
- EP ID EP694427
- DOI 10.4274/tod.galenos.2020.29291
- Views 82
- Downloads 0
Urinary Incontinence Severity, Depression and Anxiety Relation in Osteoporosis Patients
Objective: The present study aimed to analyze the relation between urinary incontinence (UI) severity and depression, anxiety and quality of life in osteoporosis patients. Materials and Methods: Based on the bone minera...
Examination of the Etiologic Causes in Patients Presenting with Elevated Parathormone
Objective: Parathyroid hormone (PTH) levels are elevated in the blood due to various reasons and named as primary or secondary hyperparathyroidism. There is no any study that investigated the etiology of elevated PTH. M...
Role of FRAX in the Evaluation of Osteoporosis in Patients with Chronic Obstructive Pulmonary Disease
Objective: The incidence of osteoporosis increased in patients with chronic obstructive pulmonary disease (COPD), and fractures due to osteoporosis are a significant cause of morbidity. Thus, risk assessment and taking n...
The Evaluation of Paraspinal Markers in the Numbering of the Lumbosacral Transitional Vertebrae
Objective: Lumbosacral transitional vertebrae (TV) are a common congenital anomaly and known to be associated with chronic low back pain. The purpose of this study is to reveal the value of the paraspinal markers such as...
A Rare Case of Posterior Knee Pain: Synovial Osteochondramatosis
Synovial osteochondromatosis (SOC) is an uncommon benign condition characterized by the proliferation of the synovium with cartilaginous metaplasia. It can develop in any joint where synovium exists but is most prevalent...