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Comparison of complications and functional results of unstable intertrochanteric fractures of femur treated with proximal femur nails and cemented hemiarthroplasty.

Abstract:
A prospective, comparative study was done over a period of 3 years to compare the complications and functional results of two treatment modalities of unstable intertrochanteric fractures of the femur in the elderly; i.e closed reduction and internal fixation (CRIF) with proximal femur nail (PFN) and primary cemented hemireplacement arthroplasty (HRA) with bipolar prosthesis. 100 elderly patients with unstable intertrochanteric fractures of femur were studied over a period of 3 years. 50 patients underwent CRIF with PFN and 50 patients were treated with primary cemented hemireplacement arthroplasty with bipolar prosthesis. Harris Hip score analysis revealed that the difference between the patients treated with cemented hemiarthroplasty and proximal femoral nailing was statistically significant in favour of the hemiarthroplasty group within the first 3 months. However, this difference diminished at the 6th month time point and reversed at the 12 month time point indicating a better functional outcome of Proximal Femur Nail in the long term. Although cemented hemireplacement arthhroplasty allows early pain free mobilization and has a good short term outcome, over time it is associated with a variety of complications which significantly affects quality of life of patients. On the other hand, although patients treated with PFN had delayed post op mobilization, they had better results when followed up at 1\u202fyear post surgery.
Author Listing: Angad Jolly;Rahul Bansal;Avadut Ramrao More;Manikanta Babu Pagadala
Volume: 10 2
Pages: \n 296-301\n
DOI: 10.1016/j.jcot.2017.09.015
Language: English
Journal: Journal of clinical orthopaedics and trauma

Journal of Clinical Orthopaedics and Trauma

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ISSN:0976-5662
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收录数据库:Scopus收录
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出版社:Elsevier

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偏重研究方向 Medicine-Orthopedics and Sports Medicine
期刊官网 https://www.journals.elsevier.com/journal-of-clinical-orthopaedics-and-trauma
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