Document Detail


Total hip replacement as primary treatment of unstable intertrochanteric fractures in elderly patients.
MedLine Citation:
PMID:  19517109     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifty-three patients with A2.2 and A2.3 intertrochanteric fracture according to the Muller classification were treated with total hip replacement between April 2000 and February 2004. The average age of the patients was 77 years. Average follow-up period was 3.7 years. We studied postoperative complications, mortality rate, functional outcome using the Harris hip score, time to return to normal activities, and radiographic evidence of healing. Two patients died on the third and fifth postoperative days. Seven more patients died within one year. The Harris hip score at one month was 66 +/- 7 (mean +/- standard deviation); at three months 72 +/- 6; at one year 74 +/- 5; at three years 76 +/- 6 and in the 27 patients who completed five year follow-up it was 76 +/- 8. Mobilisation and weight-bearing was started immediately in the postoperative period. Average time taken to return to normal daily activities was 28 days (range 24-33). No loosening or infection of the implants was observed. Total hip arthroplasty is a valid treatment option for mobile and mentally healthy elderly patients with intertrochanteric fractures. This procedure offers quick recovery with little risk of mechanical failure, avoids the risks associated with internal fixation and enables the patient to maintain a good level of function immediately after surgery.
Authors:
Amarjit Singh Sidhu; Ajay Pal Singh; Arun Pal Singh; Sukhraj Singh
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Publication Detail:
Type:  Journal Article     Date:  2009-06-11
Journal Detail:
Title:  International orthopaedics     Volume:  34     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-11-15     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  789-92     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Government Medical College & Rajindra Hospital Patiala, Punjab, India.
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MeSH Terms
Descriptor/Qualifier:
Aged
Arthroplasty, Replacement, Hip*
Female
Follow-Up Studies
Hip Fractures / surgery*
Humans
Male
Recovery of Function*
Retrospective Studies
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