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The comparison of compression hip screw and bipolar hemiarthroplasty for the treatment of AO type A2 intertrochanteric fractures

Title
The comparison of compression hip screw and bipolar hemiarthroplasty for the treatment of AO type A2 intertrochanteric fractures
Author
김영호
Keywords
Femur; Intertrochanteric fracture; Compression hip screw; Bipolar hemiarthroplasty
Issue Date
2014-06
Publisher
The Korean Hip Society
Citation
Hip and Pelvis, 권: 26, 호: 2, 페이지: 99-106
Abstract
Purpose: The purpose of this study was to compare the outcomes of osteosynthesis using compression hip screw fixation versus bipolar hemiarthroplasty in AO type A2 intertrochanteric fractures.Materials and Methods: From March 2003 to December 2009, 89 patients were included in this study. They were treated using compression hip screws (43 cases) or bipolar hemiarthroplasty (46 cases). The mean age of patients was 77.7 years (65-94 years) and the mean follow-up period was 5.9 years (1-8.3 years). For comparison of the outcomes in the two groups, statistical analyses were performed with parameters including anesthesia time, operation time, amount of transfusion, hospital stay, general complications, clinical outcome, time of partial weight-bearing using a walker, and radiological failure rate.Results: Differences in the amount of transfusion, general complications, and clinical outcome (Merle d’Aubigne and Postel score) were not statistically significant between the two groups. The bipolar hemiarthroplasty group showed better results than the compression hip screw group for anesthesia time and the time of partial weight-bearing using a walker. Radiological failures were observed in hips in one case (2.2%) ofbipolar hemiarthroplasty, and in four cases (9.3%) of compression hip screw fixation.Conclusion: Among elderly individuals with AO type A2 intertrochanteric fractures, patients treated with bipolar hemiarthroplasty were able to perform early ambulation. However, no significant difference in operation time, amount of postoperative transfusion, clinical results, hospital stay, and radiological failure rate was observed between the bipolar hemiarthroplasty and compression hip screw fixation groups.
URI
https://synapse.koreamed.org/search.php?where=aview&id=10.5371/hp.2014.26.2.99&code=1147HP&vmode=FULLhttp://hdl.handle.net/20.500.11754/47320
ISSN
2287-3260
DOI
10.5371/hp.2014.26.2.99
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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