Hip Pelvis 2012; 24(4): 316-321
Published online December 1, 2012
https://doi.org/10.5371/hp.2012.24.4.316
© The Korean Hip Society
Correspondence to : Seong Won Jang, MD
Department of Orthopedic Surgery, Sun General Hospital, 10-7 Mok-dong, Jung-gu, Daejeon 301-725, Korea
TEL: +82-42-220-8460 FAX: +82-42-254-4955
E-mail: kgfirst@hanmail.net
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Non-cement total hip arthroplasty for unstable intertrochanteric fracture in elderly patients is regarded as another surgical technique preventing complications such as non-union, long term limitation of weight bearing, pressure sore, pulmonary thromboembolism after open reduction or closed reduction with intramedullary nailing, or plate fixation. We would like to announce the short-term results of primary non-cement total hip arthroplasty with double strands and double loops figure of 8 wiring for unstable intertrochanteric fracture in elderly patients.
Materials and Methods: All of the 20 patients admitted to the hospital between April 2010 and February 2012 who underwent non-cement total hip arthroplasty with double strands and double loops figure of 8 wiring for unstable intertrochanteric fractures were evaluated. The mean age was 71.1(57-86), there were nine males, and 11 females, with an average follow up period of six months. The post-operative state was evaluated by Harris hip score.
Results: The mean operation time was 95 min, and the average blood loss was 800 cc. Mean Harris hip score at the last available follow-up was 92.7, and, among the patients, 15 had all functions of daily life without limitation of walking distance, one had hip dislocation, one had breakage of strands. Pressure sore, deep vein thrombosis, and pulmonary thromboembolism were absent. Radiography at the last available follow-up showed no loosening of the femoral stem in any of the patients, and 13 patients had osteogenesis around the fracture site, and there was no osteolysis.
Conclusion: Primary non-cement total hip arthroplasty with double strands and double loops figure of 8 wiring in elderly patients with unstable intertrochanteric fractures showed satisfactory results. These results are expected to be useful for further studies with a long-term follow-up and in development of a reduction method.
Keywords Hip, Intertrochanteric fracture, Double strands, Non-ciment total hip arthroplasty
Hip Pelvis 2012; 24(4): 316-321
Published online December 1, 2012 https://doi.org/10.5371/hp.2012.24.4.316
Copyright © The Korean Hip Society.
Ho Jin Nam, MD, Doo Hoon Sun, MD, Seong Won Jang, MD
Department of Orthopedic Surgery, Sun General Hospital, Daejeon, Korea
Correspondence to:Seong Won Jang, MD
Department of Orthopedic Surgery, Sun General Hospital, 10-7 Mok-dong, Jung-gu, Daejeon 301-725, Korea
TEL: +82-42-220-8460 FAX: +82-42-254-4955
E-mail: kgfirst@hanmail.net
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Non-cement total hip arthroplasty for unstable intertrochanteric fracture in elderly patients is regarded as another surgical technique preventing complications such as non-union, long term limitation of weight bearing, pressure sore, pulmonary thromboembolism after open reduction or closed reduction with intramedullary nailing, or plate fixation. We would like to announce the short-term results of primary non-cement total hip arthroplasty with double strands and double loops figure of 8 wiring for unstable intertrochanteric fracture in elderly patients.
Materials and Methods: All of the 20 patients admitted to the hospital between April 2010 and February 2012 who underwent non-cement total hip arthroplasty with double strands and double loops figure of 8 wiring for unstable intertrochanteric fractures were evaluated. The mean age was 71.1(57-86), there were nine males, and 11 females, with an average follow up period of six months. The post-operative state was evaluated by Harris hip score.
Results: The mean operation time was 95 min, and the average blood loss was 800 cc. Mean Harris hip score at the last available follow-up was 92.7, and, among the patients, 15 had all functions of daily life without limitation of walking distance, one had hip dislocation, one had breakage of strands. Pressure sore, deep vein thrombosis, and pulmonary thromboembolism were absent. Radiography at the last available follow-up showed no loosening of the femoral stem in any of the patients, and 13 patients had osteogenesis around the fracture site, and there was no osteolysis.
Conclusion: Primary non-cement total hip arthroplasty with double strands and double loops figure of 8 wiring in elderly patients with unstable intertrochanteric fractures showed satisfactory results. These results are expected to be useful for further studies with a long-term follow-up and in development of a reduction method.
Keywords: Hip, Intertrochanteric fracture, Double strands, Non-ciment total hip arthroplasty
Hong-Man Cho, MD, Seung-Ryul Lee, MD, Myung-Sik Park, MD, Woo Chull Chung, MD
J Korean Hip Soc 2010; 22(2): 159-165Bong-Ju Park, MD, Hong-Man Cho, MD, Cheol Park, MD, Hwang-Se Bong, MD
Hip Pelvis 2012; 24(3): 222-230Woo Seung Lee, MD, Ho Hyun Yun, MD, Jung-Ro Yoon, MD and Sung Chul Park, MD
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