Abstract
The Results of Hemiarthroplasty in the Management of Femoral Neck Fractures
The aim of the study was determine the effectiveness of treatment with partial endoprosthesis in elderly patients with the femoral neck fractures. In Orthopaedics and Traumatology Clinics of Ondokuz Mayıs University Medicine Faculty, during 1986-1995, 76 patients who diagnosed as femoral neck fractures were treated by hemiarthroplasty. 26 of them were evaluated. Mean age at surgery was 66.2 and average follow-up was 30 months. Eleven of them were female and 15 of them were male. Nine patients were treated with cemented Thompson type prosthesis and 2 patients were treated with bipolar hemiarthroplasty (one cemented and one uncemented). The remaining 15 patients underwent surgery with prostheses which had cemented a straight stem and modular head system. According to criteria of the Comittee of the American Orthopaedic Surgeons, results are accepted as excellent and good at 65.4% of the cases primary hemiarthropasty seems to be effective in preventing complications due to immobilization during postoperative period and permitting early mobilization and walking in elderly and medical compromised patients.
Bu çalışmada, femur boyun kırıldı yaşlı hastaların parsiyel endoprotez uygulamalarının etkinliğinin değerlendirilmesi amaçlandı. Ondokuz Mayıs Üniversitesi Tıp Fakültesi Ortopedi veTravmatoloji Anabilim Dalı'nda 1986-1995 yılları arasında hemiartroplasti uygulanarak tedavi edilen 76 femur boyun kırıklı olgudan çağrımıza uyup gelen 26'sı değerlendirildi. Olgularımızın yaş ortalaması 66.2 ve ortalama izlem süresi 30 ay idi. 9 olguya sementli Thompson protez, 2 olguya bipolar protez (biri sementli, biri sementsiz), 15 olguya sementli düz saplı modüler protez uygulandı. Amerikan Ortopedik Cerrahlar Komitesi'nin kriterlerine göre, klinik olarak çok iyi ve iyi sonuç oranı %65.4 olarak bulundu. Primer hemiartroplasti postoperatif dönemde immobilizasyona bağlı gelişebilecek komplikasyonların önlenmesinde, yaşlı ve genel durumu bozuk hastaların bir an önce mobilize edilmesi ve yürütülmesinde etkin bir tedavi metodu olarak görünmektedir.
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| Primary Language | English |
|---|---|
| Journal Section | Basic Medical Sciences |
| Authors | |
| Publication Date | December 23, 2009 |
| Submission Date | December 7, 2009 |
| Published in Issue | Year 1999 Volume: 16 Issue: 4 |
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