Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes
Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 30 - 36 Metin Dili: İngilizce DOI: 10.4274/tod.galenos.2020.29291 İndeks Tarihi: 21-11-2021
Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes
Öz: Objective: Hip fracture treatment in elderly patients remains challenging. This study aimed to evaluate short-term clinical results of long-stem cementless arthroplasty in elderly patients with femoral neck and intertrochanteric fractures.Materials and Methods: We collected data of patients we treated with long-stem cementless arthroplasty between January 2011 and December 2019 due to hip fractures. This study included 48 patients (≥65 years of age) with femoral neck and intertrochanteric fractures. The patients underwent either bipolar or total hip arthroplasty. A 2-year follow-up was conducted in all the patients. Outcomes were evaluated with the Harris hip score (HHS), Koval categories, complications and hip and mid-thigh pain. We compared clinical results of patients with femoral neck fractures and those with intertrochanteric fractures.Results: The mean follow-up period was 57 (34-92) months. Sixteen patients had femoral neck fractures and 32 had intertrochanteric fractures. No difference in demographic characteristics and comorbidities was noted between groups. The mean preoperative Barthel index of activities of daily living score was 79. At the last follow-up, the mean HHS of the control group was 77 and the mean Koval categories score was 3. Revision surgeries were conducted in two patients due to dislocation. Infection was observed in one patient and was treated by debridement and anti-biotherapy. Implant loosening and periprosthetic fractures were not noted.Conclusion: With fair outcomes, long-stem cementless arthroplasty is a potential treatment for hip fractures in elderly patients. A longer follow-up to evaluate the efficacy of these prostheses is warranted.
Anahtar Kelime: Yaşlılarda İntertrokanterik ve Femur Boyun Kırıklarında Uzun Stemli Protezler: Kısa Dönem Klinik Sonuçlarının Retrospektif Karşılaştırılması
Öz: Amaç: Yaşlılarda kalça kırıklarının tedavisi hala güçlükler içermektedir. Çalışmamızda; femur boyun ya da intertrokanterik kırığı olan yaşlı hastalarda uzun stemli çimentosuz artroplastinin kısa dönem klinik sonuçlarını değerlendirmeyi amaçladık. Gereç ve Yöntem: Ocak 2011’den Aralık 2019’a kadar kalça kırığı nedeniyle uzun stemli çimentosuz artroplasti ile tedavi ettiğimiz hastaların verilerini topladık. Femur boyun ya da intertrokanterik kırığı olan 48 hasta (≥65 yaş) çalışmaya dahil edildi. Hastalara bipolar veya total kalça artroplastisi uygulandı. Tüm hastalar en az 2 yıl takip edildi. Sonuçlar Harris kalça skoru (HHS), Koval kategorileri, komplikasyon, kalça ağrısı ve uyluk önü ağrısı açısından değerlendirildi. Femur boyun kırığı olan hastalarla ve intertrokanterik kırığı olan hastaların klinik sonuçlarını karşılaştırdık. Bulgular: Ortalama takip süresi 57 (34-92) aydı. On altı hastada femur boyun kırığı, 32 hastada intertrokanterik kırık vardı. Demografik özellikler ve komorbiditeler açısından gruplar arasında fark yoktu. Preoperatif, Barthel günlük yaşam aktivite indeksi puanı ortalama 79 olarak hesaplandı. Son kontrollerde ortalama HHS 77 ve Koval kategorileri 3’tü. Çıkık sebebiyle 2 hastaya revizyon uygulandı. Sadece 1 hastada enfeksiyon vardı ve debridman ve antibiyoterapi ile tedavi edilebildi. İmplant yetersizliği veya periprostetik kırık hiçbir hastada görülmedi. Sonuç: İyi klinik sonuçlarla, uzun stemli çimentosuz artroplasti yaşlı hastalarda kalça kırıklarının tedavisi için bir seçenek olabilir. Bu protezlerin etkinliğini değerlendirmek için daha uzun takip süreleriyle yapılmış çalışmalar daha uygun olacaktır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | BICEN A, türken m, Akdemir M, ÇEKOK F (2021). Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. , 30 - 36. 10.4274/tod.galenos.2020.29291 |
| Chicago | BICEN AHMET CAGDAS,türken mehmet aykut,Akdemir Mehmet,ÇEKOK Fatma Kubra Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. (2021): 30 - 36. 10.4274/tod.galenos.2020.29291 |
| MLA | BICEN AHMET CAGDAS,türken mehmet aykut,Akdemir Mehmet,ÇEKOK Fatma Kubra Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. , 2021, ss.30 - 36. 10.4274/tod.galenos.2020.29291 |
| AMA | BICEN A,türken m,Akdemir M,ÇEKOK F Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. . 2021; 30 - 36. 10.4274/tod.galenos.2020.29291 |
| Vancouver | BICEN A,türken m,Akdemir M,ÇEKOK F Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. . 2021; 30 - 36. 10.4274/tod.galenos.2020.29291 |
| IEEE | BICEN A,türken m,Akdemir M,ÇEKOK F "Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes." , ss.30 - 36, 2021. 10.4274/tod.galenos.2020.29291 |
| ISNAD | BICEN, AHMET CAGDAS vd. "Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes". (2021), 30-36. https://doi.org/10.4274/tod.galenos.2020.29291 |
| APA | BICEN A, türken m, Akdemir M, ÇEKOK F (2021). Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. Türk Osteoporoz Dergisi, 27(1), 30 - 36. 10.4274/tod.galenos.2020.29291 |
| Chicago | BICEN AHMET CAGDAS,türken mehmet aykut,Akdemir Mehmet,ÇEKOK Fatma Kubra Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. Türk Osteoporoz Dergisi 27, no.1 (2021): 30 - 36. 10.4274/tod.galenos.2020.29291 |
| MLA | BICEN AHMET CAGDAS,türken mehmet aykut,Akdemir Mehmet,ÇEKOK Fatma Kubra Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. Türk Osteoporoz Dergisi, vol.27, no.1, 2021, ss.30 - 36. 10.4274/tod.galenos.2020.29291 |
| AMA | BICEN A,türken m,Akdemir M,ÇEKOK F Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. Türk Osteoporoz Dergisi. 2021; 27(1): 30 - 36. 10.4274/tod.galenos.2020.29291 |
| Vancouver | BICEN A,türken m,Akdemir M,ÇEKOK F Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes. Türk Osteoporoz Dergisi. 2021; 27(1): 30 - 36. 10.4274/tod.galenos.2020.29291 |
| IEEE | BICEN A,türken m,Akdemir M,ÇEKOK F "Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes." Türk Osteoporoz Dergisi, 27, ss.30 - 36, 2021. 10.4274/tod.galenos.2020.29291 |
| ISNAD | BICEN, AHMET CAGDAS vd. "Long-stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-term Clinical Outcomes". Türk Osteoporoz Dergisi 27/1 (2021), 30-36. https://doi.org/10.4274/tod.galenos.2020.29291 |
