Comparative between standard dynamic hip screw and cemented bipolar arthroplasty in trochanteric fracture of femur in elderly patient
Keywords:
Unstable intertrochanteric fracture, Dynamic Hip Screw, Cemented Bipolar Arthroplasty, ilson and Salvati’s score system, time-to-weightbearingAbstract
Introduction:
Unstable intertrochanteric fracture in elderly is a very disturbing condition for patients. This research is aimed to compare the clinical functional results between the standard dynamic hip screw (DHS) and the cemented bipolar arthroplasty in elderly patients with unstable femur intertrochanteric facture. Unstable femur intertrochanteric facture in elderly patients represented the very disturbing condition in the patients’ health history.
Methods:
This research was conducted in January to February 2016. The patients’ medical data were the secondary data, and the interview results were the primary data. This was an analytic cross-sectional study. The data were analyzed by cross tabulation, Chi-square test, and Mann-Whitney U-test. Out of 38 samples, 21 samples are of DHS, and 17 samples are of cemented bipolar arthroplasty.
Results:
In the clinical functional data based on Wilson and Salvati’s score system, there was no significant difference between both groups (p>0.05). There was no difference in the score of walking and its function (p>0.05). The time-toweight- bearing was significantly different in the DHS and the bipolar groups with p value of < 0.001. DHS treatment gave better and more significant pain score of the muscular strength and motion than the group with bipolar treatment.
Conclusion:
There is no significant difference in clinical function results based on the Salvati and Wilson’s score between DHS and Cemented Bipolar Arthroplasty in both groups.
Downloads
References
Egol KA, Koval KJ and Zuckerman JD. Intertrochanteric Fractures. In: Egol KA, Koval KJ and Zuckerman JD [eds.]. Handbook of Fractures 5th ed. Philadephia: Wolters Kluwer; 2015.
Thompson JC. Netter’s Concise Orthopaedic Anatomy 2nd ed. Philadelphia: Saunders Elsevier; 2010.
Robling AG, Castillo AB, and Turner CH. Biomechanical and Molecular Regulation of Bone Remodelling. Annu Rev Biomed Eng 2006. 8: 455-98.
Shuller FD and Schmitz Mweiss DB, Milewski MD, Thompson SR, and Stannard JP.Trauma. In: Miller MD,
Thompson SR and Hart JA [eds.]. Review of Orthopaedics 5th ed. Philadelphia: Saunders; 2008: 747-48.
Kiran Kumar GN, Menna S, Vijaya Kumar N, Manjunath S, dan Binaya Raj MK. Bipolar Hemiarthroplasty in Unstable Intertrochanteric Fractures in Elderly: A Prospective Study. Journal of Clinical and Diagnostic Research 2013. 7 (8): 1660-71.
Ingle M , Sonar U, Koichade Mr, Yelne A, Ashish R. Cemented Bipolar Hemiarthroplasty in Unstable Osteoporotic Fractures of Intertrochanteric Neck Femur in Elderly Patients: A Prospective Study. Indian journal of Basic and Applied Medical Research 2014. 3(3): 85-94.
Patil A, Ansari M, Pathak A, Goregaonkar AB and Thakker CJ. Role of Cemented Bipolar Hemiarthroplasty for Comminuted Inter-trochanteric Femur Fracture in Elderly Osteoporotic Patients Through a Modified Transtrochanteric approach – “SION Hospital Modification”. IOSR Journal of Dental and Medical Sciences 2013. 9 (4): 40- 47.
Walia JPS, Gupta AC, Kumar R, Sethi S dan Singh S. Comparative Study Between Standard Dynamic Hip Screw (DHS) and Cemented Bipolar Arthroplasty in Trochanteric Fracture of Femur in Elderly Patients. Pb Journal of Orthopaedics 2012. XIII (1): 40-3.
Pachore JA, Shah VI, Sheth AN, Kalpesh PS, Marothi DP dan Puri R. Hip Arthroplasty in Failed Intertrochanteric Fractures in Elderly. Indian J Orthop 2013. 47 (6): 572-7.
Russell TA. Intertrochanteric Fracture. In: Bucholz RW, Heckman JD, Court-brown CM, Tornetta P [eds.]. Rockwood and Green’s Fracture In Adults 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2010: 1598-641.
Hassankhani EG, Kashani FO, Hajitaghi H, dan Hassankhani GG. How to treat the Complex Unstable Intertrochanteric Fractures in Elderly Patients? DHS or Arthroplasty. Arch Bone Jt Surg 2014. 2(3):174-1.
Zhang YHN, Lim CT, Shen L, Kevin L, dan Shamal DD. Clinical Outcome Following Treatment of Stable and Unstable Intertrochanteric fractures with Dynamic Hip Screw. Ann Acad Med Singapore 2011. 40: 482-7.
Sinno K, Sakr M, Girard J, dan Khatib H. The Effectiveness of Primary Bipolar Arthroplasty in Treatment of Unstable Intertrochanteric fractures in elderly Patients. N Am J Med Sci 2010. 2 (12): 561-8.
Hughes PE, Hsu JC, and Matave MJ. Hip Anatomy and Biomechanics in the Athlete. Sports Medicine and Arthroscopy Review. 2002; 10: 103-114.