ArticleOrthopaedic surgery2012
Unstable trochanteric fractures in elderly osteoporotic patients: role of primary hemiarthroplasty.
Article in Orthopaedic surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 23 citations in OpenAlex.
- Management of Hip Arthroplasty for Intertrochanteric Fractures Under the Treatment Concept of Periprosthetic Fractures.Orthopaedic surgery · 2025Article
- Article
- Primary bipolar hemiarthroplasty as a treatment option for unstable intertrochanteric fractures.Fujita medical journal · 2020Article
- Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis.Hip & pelvis · 2018Article
- Article
- Cemented Hemiarthroplasty in Elderly Osteoporotic Unstable Trochanteric Fractures using Fracture Window.Malaysian orthopaedic journal · 2016Article
- Effects of Cemented Hip Stem Pre-heating on Stem Push-out Strength.Orthopaedic surgery · 2015Article
- Comparison of complications and functional results of unstable intertrochanteric fractures of femur treated with proximal femur nails and cemented hemiarthroplasty.Journal of clinical orthopaedics and traumaReview
- A clinical study on arthroplasty for failed internal fixation of hip fractures and review of literature.Pakistan journal of medical sciencesArticle
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveUnstable intertrochanteric fractures in osteoporotic patients are difficult to treat. Fixation failure often leads to prolonged morbidity and poor functional outcomes. The objective of the present study was to investigate primary replacement as a suitable option that could minimize complications in selected patients.
methodsFrom January 2004 to March 2007, 28 elderly osteoporotic patients with unstable intertrochanteric fractures were included in this study. Their fractures were classified according to the AO/OTA classification (8 patients, 31A2.2; 17 patients, 31A2.3 and 3 patients, 31A3.3) and their osteoporosis was confirmed by bone densitometry. Hemiarthroplasty was performed in all patients and the outcomes analyzed using the Harris hip score system.
resultsOf the 28 patients, 19 were women and the mean age was 79 years (range, 52-95 years). At a mean follow up of 4.2 years (range, 3-6 years), there were 17 excellent, 7 good, 2 fair and 2 poor results according to the Harris hip score system.
conclusionIn elderly osteoporotic patients with unstable intertrochanteric fractures, hemiarthroplasty is a reliable alternative to internal fixation. The functional outcome has been encouraging and we suggest it as a method of treatment in this group of patients.
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