Comparison between Bipolar Hemiarthroplasty and Total Hip Arthroplasty for Unstable Intertrochanteric Fractures in Elderly Osteoporotic Patients

被引：21

作者：

Fan, Lihong ^{[1
]}

Dang, Xiaoqian ^{[1
]}

Wang, Kunzheng ^{[1
]}

机构：

[1] Xi An Jiao Tong Univ, Sch Med, Affiliated Hosp 2, Dept Orthopaed Surg, Xian 710049, Shaanxi Provinc, Peoples R China

来源：

PLOS ONE | 2012年 / 7卷 / 06期

基金：

中国国家自然科学基金;

关键词：

INTERNAL-FIXATION; FEMORAL FRACTURES; PROSTHETIC REPLACEMENT; TROCHANTERIC FRACTURES; SCREW; INTRAMEDULLARY; COMPLICATIONS; FEMUR; NECK; NAIL;

D O I：

10.1371/journal.pone.0039531

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

The present study was conducted to compare bipolar hemiarthroplasty (BA) with total hip arthroplasty (THA) in treatment of unstable intertrochanteric fractures in elderly osteoporotic patients. The THA group included 14 males and 26 females with a mean age of 73.4 years, and the BA group included 27 males and 45 females with a mean age of 76.5 years. Significant difference existed between the two groups in operation time, blood loss, transfusion volume and cost of hospitalization, while no remarkable difference was identified in hospitalization period, general complications, joint function, pain, rate of revision and mortality. No dislocation was observed in BA group while 3 occurred in THA group. The results indicated that for unstable intertrochanteric fractures in elderly osteoporotic patients, BA seems to be a better or more reasonable choice compared with THA for the reason of less blood loss, shorter operation time, lower cost and no dislocation.

引用

页数：6

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