Cargando…

Comparison of Cementless Calcar-Replacement Hemiarthroplasty With Proximal Femoral Nail for the Treatment of Unstable Intertrochanteric Fractures at Older Age Group

Background: The aim of this study was to compare the outcomes of unstable intertrochanteric femur fractures treated with cementless calcar-replacement bipolar hemiarthroplasty (CRH) and proximal femoral nail (PFN) in elderly patients. Methods: All consecutive unstable intertrochanteric fractures tre...

Descripción completa

Detalles Bibliográficos
Autores principales: Agar, Anıl, Sahin, Adem, Gunes, Orhan, Gulabi, Deniz, Erturk, Cemil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7897399/
https://www.ncbi.nlm.nih.gov/pubmed/33633886
http://dx.doi.org/10.7759/cureus.12854
_version_ 1783653662509236224
author Agar, Anıl
Sahin, Adem
Gunes, Orhan
Gulabi, Deniz
Erturk, Cemil
author_facet Agar, Anıl
Sahin, Adem
Gunes, Orhan
Gulabi, Deniz
Erturk, Cemil
author_sort Agar, Anıl
collection PubMed
description Background: The aim of this study was to compare the outcomes of unstable intertrochanteric femur fractures treated with cementless calcar-replacement bipolar hemiarthroplasty (CRH) and proximal femoral nail (PFN) in elderly patients. Methods: All consecutive unstable intertrochanteric fractures treated with cementless CRH or PFN at our institution between January 2015 and January 2019 were reviewed retrospectively. The primary outcome measures were postoperative complications, reoperation rate, and hip function. The secondary outcome measures were intraoperative blood loss, transfusion rate, surgical time, hospital stay, and two- year mortality. Results: Ninety-four patients in the hemiarthroplasty group and 77 patients in the PFN group were included for analysis. There were no significant differences between the two groups regarding the complications, ASA score, and reoperation rate. Significant differences were found between hemiarthroplasty and PFN group in comparison of the average length of hospital stay (P < 0.05), time from hospitalization to operation (P < 0.05), intraoperative blood loss (P < 0.001), transfusion rate (P < 0.001), operation time (P < 0.001), Harris Hip Score (HHS; P < 0.001), and two-year mortality (P < 0.05). Conclusion: Both hemiarthroplasty and PFN produce satisfactory results in surgically treated unstable intertrochanteric femur fractures in the elderly. Both groups are associated with their own complications, but in the PFN group, better functional results, less surgery-related trauma, and lower mortality rates are the main advantages.
format Online
Article
Text
id pubmed-7897399
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-78973992021-02-24 Comparison of Cementless Calcar-Replacement Hemiarthroplasty With Proximal Femoral Nail for the Treatment of Unstable Intertrochanteric Fractures at Older Age Group Agar, Anıl Sahin, Adem Gunes, Orhan Gulabi, Deniz Erturk, Cemil Cureus Orthopedics Background: The aim of this study was to compare the outcomes of unstable intertrochanteric femur fractures treated with cementless calcar-replacement bipolar hemiarthroplasty (CRH) and proximal femoral nail (PFN) in elderly patients. Methods: All consecutive unstable intertrochanteric fractures treated with cementless CRH or PFN at our institution between January 2015 and January 2019 were reviewed retrospectively. The primary outcome measures were postoperative complications, reoperation rate, and hip function. The secondary outcome measures were intraoperative blood loss, transfusion rate, surgical time, hospital stay, and two- year mortality. Results: Ninety-four patients in the hemiarthroplasty group and 77 patients in the PFN group were included for analysis. There were no significant differences between the two groups regarding the complications, ASA score, and reoperation rate. Significant differences were found between hemiarthroplasty and PFN group in comparison of the average length of hospital stay (P < 0.05), time from hospitalization to operation (P < 0.05), intraoperative blood loss (P < 0.001), transfusion rate (P < 0.001), operation time (P < 0.001), Harris Hip Score (HHS; P < 0.001), and two-year mortality (P < 0.05). Conclusion: Both hemiarthroplasty and PFN produce satisfactory results in surgically treated unstable intertrochanteric femur fractures in the elderly. Both groups are associated with their own complications, but in the PFN group, better functional results, less surgery-related trauma, and lower mortality rates are the main advantages. Cureus 2021-01-22 /pmc/articles/PMC7897399/ /pubmed/33633886 http://dx.doi.org/10.7759/cureus.12854 Text en Copyright © 2021, Agar et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Agar, Anıl
Sahin, Adem
Gunes, Orhan
Gulabi, Deniz
Erturk, Cemil
Comparison of Cementless Calcar-Replacement Hemiarthroplasty With Proximal Femoral Nail for the Treatment of Unstable Intertrochanteric Fractures at Older Age Group
title Comparison of Cementless Calcar-Replacement Hemiarthroplasty With Proximal Femoral Nail for the Treatment of Unstable Intertrochanteric Fractures at Older Age Group
title_full Comparison of Cementless Calcar-Replacement Hemiarthroplasty With Proximal Femoral Nail for the Treatment of Unstable Intertrochanteric Fractures at Older Age Group
title_fullStr Comparison of Cementless Calcar-Replacement Hemiarthroplasty With Proximal Femoral Nail for the Treatment of Unstable Intertrochanteric Fractures at Older Age Group
title_full_unstemmed Comparison of Cementless Calcar-Replacement Hemiarthroplasty With Proximal Femoral Nail for the Treatment of Unstable Intertrochanteric Fractures at Older Age Group
title_short Comparison of Cementless Calcar-Replacement Hemiarthroplasty With Proximal Femoral Nail for the Treatment of Unstable Intertrochanteric Fractures at Older Age Group
title_sort comparison of cementless calcar-replacement hemiarthroplasty with proximal femoral nail for the treatment of unstable intertrochanteric fractures at older age group
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7897399/
https://www.ncbi.nlm.nih.gov/pubmed/33633886
http://dx.doi.org/10.7759/cureus.12854
work_keys_str_mv AT agaranıl comparisonofcementlesscalcarreplacementhemiarthroplastywithproximalfemoralnailforthetreatmentofunstableintertrochantericfracturesatolderagegroup
AT sahinadem comparisonofcementlesscalcarreplacementhemiarthroplastywithproximalfemoralnailforthetreatmentofunstableintertrochantericfracturesatolderagegroup
AT gunesorhan comparisonofcementlesscalcarreplacementhemiarthroplastywithproximalfemoralnailforthetreatmentofunstableintertrochantericfracturesatolderagegroup
AT gulabideniz comparisonofcementlesscalcarreplacementhemiarthroplastywithproximalfemoralnailforthetreatmentofunstableintertrochantericfracturesatolderagegroup
AT erturkcemil comparisonofcementlesscalcarreplacementhemiarthroplastywithproximalfemoralnailforthetreatmentofunstableintertrochantericfracturesatolderagegroup