Results of Cementless and Cemented Bipolar Hemiarthroplasty in Proximal Femur Fractures with Dorr Type B Morphology

Yıl 2022, , 361 - 367, 04.10.2022

Muhammed Çağatay Engin , Serdar Toy , Kemal Zencirli , Mehmet Cenk Turgut

https://doi.org/10.53424/balikesirsbd.1029509

Öz

Objective: Surgical outcomes of patients with Dorr type B femoral morphology operated for hip fracture with bipolar hemiarthroplasty were compared. Materials and Methods: This retrospective study included 255 patients with a follow-up of at least five years. Patients were divided into two groups: cementless (group 1; n=87) and cemented (group 2; n=168). The study focused on the following parameters: Admission cost, fracture type, gender, need for blood transfusion, Harris Hip Score (HHS), additional fracture, use of cement, mortality rate, revision surgery, the time between trauma and surgery, length of hospital stays, and surgery time. Results: The mean age of patients was similar in both groups. Group 2 had a significantly longer duration of surgery and a higher need for blood transfusions than group 1. The mean hemoglobin levels of patients were similar in both groups. Pertrochanteric femoral fractures were more common than femoral neck fractures in group 2. The two groups did not differ on the parameters of time between trauma and surgery, mortality rate, revision surgery, length of hospital stay, cost, and additional fractures. Conclusion: In patients aged 75 years or older who are scheduled for cemented bipolar hemiarthroplasty, erythrocyte suspension preparation should be performed before surgery if a hip fracture with Dorr type B femoral morphology is present.

Anahtar Kelimeler

Elderly, Hemiarthroplasty, Hip, Hip Fractures

Dorr Tip B Morfolojili Proksimal Femur Kırıklarında Çimentosuz ve Çimentolu Bipolar Hemiartroplasti Sonuçları

Öz

Amaç: Bipolar hemiartroplasti ile kalça kırığı nedeniyle ameliyat edilen Dorr tip B femur morfolojisine sahip hastaların cerrahi sonuçları karşılaştırıldı. Gereç ve Yöntem: Bu retrospektif çalışmada, en az 5-yıllık takibi olan 255 hasta değerlendirildi. Hastalar iki gruba ayrıldı: sementsiz (Grup 1; n=87) ve sementli (Grup 2; n=168). Çalışma şu parametrelere odaklandı: yatış maliyetleri, kırık tipi, cinsiyet, kan transfüzyonu ihtiyacı, Harris hip skoru (HHS), ek kırık, çimento kullanımı, ölüm oranı, revizyon cerrahisi, travma ile cerrahi arasındaki süre, hastanede kalış süresi ve ameliyat süresi. Bulgular: Gruplarda yer alan hastaların yaş ortalaması benzer idi. Grup 2, Grup 1'e göre anlamlı olarak daha uzun ameliyat süresine ve daha yüksek kan transfüzyonu oranına sahipti. Ortalama hemoglobina değerleri her iki grupta benzerdi. Grup 2'de pertrokanterik femur kırıkları, femur boyun kırıklarından daha yaygındı. Travma ve ameliyat arasındaki süre, ölüm oranı, revizyon cerrahisi, hastanede kalış süresi, yatış maliyet ve ek kırık açısından iki grup arasında anlamlı bir fark yoktu. Sonuç: 75 yaş veya üzeri Dorr tip B femur morfolojisine sahip kalça kırığı olan hastalar çimentolu bipolar hemiartroplasti planlanıyorsa ameliyat öncesi mutlaka eritrosit süspansiyonu hazırlığı yapılmalıdır.

Anahtar Kelimeler

Hemiartroplasti, Kalça, Kalça Kırıkları, Yaşlı

Kaynakça

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