What is The Role of Primary Hip Hemiarthroplasty Over 70 Years of Age?

Year 2009, Volume: 10 Issue: 2, 15 - 17, 01.08.2009

Murat Bülbül Semih Ayanoglu Volkan Gürkan Kahraman Öztürk Cem Zeki Esenyel Hakan Gürbüz

Abstract

OBJECTIVE: We assessed importance of primary hip hemiarthroplasty in treatment algorithm. And we have evaluated patients treated with primary hip hemiarthroplasty for unstable intertrochanteric hip fractures according to morbidity rates. MATERIAL and METHODS: In our clinic between 1995 and 2006; we selected 75 patients treated with primary hip hemiarthroplasty for intertrochanteric femur fracture (IFF). Mean follow-up was 44 months (20-82). Genders of patients were female 43% and male 32%. Numbers of affected hips were 45 right and 30 left. Patients were evaluated with Harris Hip Score. RESULTS: Harris Hip Score of patients; Excellent 4, Good 54, Fair 9 and Poor 8 results were obtained. Seventyeight percent excellent to good results obtained primary hip hemiarthroplasty for unstable intertrochanteric femur fracture patients over 70 years of age. CONCLUSION: There are advantages of primary hip hemiarthroplasty over osteosynthesis for patient's population over 70 years of age such as; short surgery time, no radiation exposure and immediate weight bearing. Primary hip hemiarthroplasty can be an alternative treatment for unstable intertrochanteric fractures in elderly patients so as to achieve earlier mobilization. It is also current and effective treatment option for most elderly.

Keywords

Intertrochanteric femur fractures, elderly, hip, hemiarthroplasty

YETMİŞ YAŞ ÜZERİ ANSTABİL İNTERTROKANTERİK FEMUR KIRIKLARINDA HEMİARTROPLASTİNİN YERİ NE OLMALI?

Abstract

AMAÇ:Yetmiş yaş üzeri anstabil intertrokanterik femur kırıklarda (İFK) hemiartroplasti uyguladığımız olgularımorbidite açısından değerlendirdik. Günümüzdeki hemiartroplastinin yerini tartışmayı amaçladık.GEREÇ ve YÖNTEMLER:Kliniğimizde 1995-2006 yılları arasında hemiartroplasti yöntemi ile tedevi edilenintertrokanterik femur kırıklı hastaların 75'i çalışmaya dahil edildi. Ortalama takip süreleri 44 ay idi.Hastaların 43'ü kadın,32'si erkekti. 45 hastanın sağ, 30 hastanın sol kalçası etkilenmişti. Olguların hepsi Harriskalça skorlamasına göre değerlendirildi.BULGULAR:Harris kalça skorlama sistemine göre dört hastada mükemmel sonuç, 54 hastada iyi sonuç, dokuzhastada orta, sekiz hastada kötü sonuç saptandı. Yetmiş yaş üzeri anstabil İFK'larında uygulanan hemiartroplastiolgularının %78'inde iyi-mükemmel sonuca ulaşılmış olduğu saptandıSONUÇ:Ameliyat süresinin çok kısa olması, skopi gibi teknik donanıma sahip olma şartının olmaması ve erkentam yük verebilme gibi avantajları olan hemiartroplasti yönteminin yaşlı İFK olgularında halen geçerliliğini veetkinliğini koruyan bir yöntem olduğu sonucuna vardık

Keywords

İntertrokanterik kırık, yaşlı, kalça, hemiartroplasti

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