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THE OUTCOMES OF PARTIAL CEMENTLESS LONG STEM HIP REPLACEMENT FOR UNSTABLE INTERTROCHANTERIC FRACTURES IN PATIENTS ABOVE 70-YEARS-OLD AT E HOSPITAL
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Abstract
Background: Intertrochanteric hip fractures are quitely common. Hip replacement surgery is recommended for unstable intertrochanteric fractures in elderly with severe osteoporosis, making patients early rehabilitate and reduce time of hospitalisation. Objective: To evaluate the treatment outcomes of partial cementless long stem hip replacement surgery in patients above 70-years-old with intertrochanteric hip fractures at E Hospital. Subjects and methods: A descriptive and retrospective study was conducted on 69 patients with unstable intertrochanteric fractures (A2), who underwent partial cementless long stem hip replacement surgery for intertrochanteric hip fractures at E Hospital from November 2019 to the end of August 2022. Results: The mean age was 86,25±6,39 yrs. The majority of patients (76,8%) had a femoral stem axis aligned with the axis of the femur, varus axis was 20,3% and valgus was 2,9%. The average degree of stem fit to the femoral canal was 81,53±4,31%; with 80% or more achieving a fit, was observed in 79,7% of cases. Evaluation of hip joint function after surgery showed excellent and good outcomes in 78,4% of cases; the average HHS was 81,81±8,95 pts. Conclusion: Partial cementless long stem hip replacement surgery is a favorable treatment option for intertrochanteric hip fractures in the elderly population.
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Keywords
Intertrochanteric hip fractures, partial cementless hip replacement.
References
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