The purpose of this study was to compare the clinical and radiographic results for elderly patients sustaining unstable intertrochanteric fractures treated with an uncemented bipolar hemiarthroplasty using a double-tapered, rectangular cross-section stem.
Thirty-seven patients (21 females, 16 males; mean age 73.5 years, range 65-88 years) who underwent bipolar hemiarthroplasty with a standard (double-tapered, rectangular cross-section) uncemented stem were followed up for a minimum of two years. At final follow-up, 27 patients (72.9%) had recovered their daily living ability (Barthel index), and 28 patients (75.6%) had recovered all walking ability at a community level (Koval's category).
EhmkeL.W.FitzpatrickD.C.KriegJ.C.MadeyS.M.BottlangM.Lag screws for hip fracture fixation: evaluation of migration resistance under simulated walking. J Orthop Res.2005; 23(6): 1329–35.
2.
MeltonLJ3rdGabrielS.E.CrowsonC.S.TostesonA.N.JohnellO.KanisJ.A.Cost-equivalence of different osteoporotic fractures. Osteoporos Int.2003; 14(5): 383–8.
3.
BoonenS.AutierP.BaretteM.VanderschuerenD.LipsP.HaentjensP.Functional outcome and quality of life following hip fracture in elderly women: a prospective controlled study. Osteoporos Int.2004; 15(2): 87–94.
4.
ZhangZ.GeJ.LuX.ChenG.ZhuoN.Evaluation on curative effect of three operative methods in treatment of senile intertrochanteric fracture. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi.2009; 23: 556–61.
NewmanR.J.The comprehensive classification of fractures of long bone. Curr Orthop.1991; 5(4): 287.
7.
EvansE.M.The treatment of trochanteric fractures of the femur. J Bone Joint Surg Br.1949; 31(2): 190–203.
8.
SinghM.NagrathA.R.MainiP.S.Changes in trabecular pattern of the upper end of the femur as an index of osteoporosis. J Bone Joint Surg Am.1970; 52(3): 457–67.
9.
HardyD.C.DescampsP.Y.KrallisP.Use of an intramedullary hip screw compared with a compression hip screw with a plate for intertrochanteric femoral fractures. A prospective, randomised study of one hundred patients. J Bone Joint Surg Am.1998; 80(5): 618–30.
10.
KovalK.J.AharonoffG.B.RosenbergA.D.BernsteinR.L.ZuckermanJ.D.Functional outcome after hip fracture. Effect of general versus regional anesthesia. Clin Orthop Relat Res.1998; (348): 37–41.
11.
ParkerM.J.PalmerC.R.A new mobility score for predicting mortality after hip fracture. J Bone Joint Surg Br.1993; 75(5): 797–8.
12.
D'AubigneR.M.PostelM.Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am.1954; 31(3): 451–75.
13.
MahoneyF.I.BarthelD.W.Functional evaluation: the Barthel Index. Md State Med J.1965; 14: 61–5.
14.
GruenT.A.McNeiceG.M.AmstutzH.C.“Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res.1979; (141): 17–27.
15.
CallaghanJ.J.SalvatiE.A.PellicciP.M.Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982. A two to five-year follow-up. J Bone Joint Surg Am.1985; 67(7): 1074–85.
16.
EnghC.A.BobynJ.D.The influence of stem size and extent of porous coating on femoral bone resorption after primary cementless hip arthroplasty. Clin Orthop Relat Res.1988; (231): 7–28.
17.
KyleR.F.GystiloR.B.PremerR.F.Analysis of six hundred and twenty one intertrochanteric hip fractures. A retrospective and prospective study. J Bone Joint Surg Am.1979; 61(2): 216–21.
18.
KauferM.MatteusL.S.SonstegardD.Stable fixation of intertrochanteric fractures. A biomechanical evaluation. J Bone Joint Surg Am.1974; 56(5): 899–907.
19.
WolfgangG.L.BryantH.H.O'NeillJ.P.Treatment of intertrochanteric fractures of the femur using sliding screw plate fixation. Clin Orthop Relat Res.1982; (163): 148–58.
20.
MarianiE.M.RonJ.A.Nonunion of intertrochanteric fractures of the femur following open reduction and internal fixation. Results of second attempts to gain union. Clin Orthop Relat Res.1987; (218): 81–9.
21.
GreenS.MooreT.ProanoF.Bipolar prosthetic replacement for the management of unstable intertrochanteric fractures in elderly. Clin Orthop Relat Res.1987; (224): 169–77.
22.
HaentjensP.CasteleyenP.P.De BoeckH.HandelbergF.OpdecamP.Treatment of unstable intertrochanteric and subtrochanteric fracture in elderly patients. Primary bipolar arthroplasty compared with internal fixation. J Bone Joint Surg Am.1989; 71(8): 1214–25.
23.
HarvinS.F.SternR.E.KulickR.G.Primary Bateman-Lienbach Bipolar prosthetic replacement of the hip in the treatment of unstable intertrochanteric fractures in the elderly. Orthopedics.1990; 13(10): 1131–6.
24.
KayaliC.AgusH.OzlukS.SanliC.Treatment for unstable intertrochanteric fractures in elderly patients: internal fixation versus cone hemiarthroplasty. J Orthop Surg (Hong Kong).2006; 14(3): 240–4.
25.
CallaghanJ.J.SalvatiE.A.PellicciP.M.WilsonP.D.Jr.RanawatC.S.Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982. A two to five-year follow-up. J Bone Joint Surg Am.1985; 67(7): 1074–85.
26.
ChristieJ.BurnettR.PottsH.R.PellA.C.Echocardiography of transatrial embolism during cemented and uncemented hemiarthroplasty of the hip. J Bone Joint Surg Br.1994; 76(3): 409–12.
27.
DelaunayC.BonnometF.NorthJ.JobardD.CazeauC.KempfJ.F.Grit-blasted titanium femoral stem in cementless primary total hip arthroplasty. A 5- to 10-year multicenter study. J Arthroplasty.2001; 16(1): 47–54.
28.
SwansonT.V.The tapered press fit total hip arthroplasty: a European alternative. J Arthroplasty.2005; 20(4 Suppl 2): 63–7.
