Dr, Principal Investigator Orthopedic Resident, Philippine Orthopedic Center, Philippines
Cemented hemiarthroplasty versus proximal femoral nail for neglected intertrochanteric femur fractures in the elderly at the Philippine Orthopedic Center.
Author(s): PAOLO MIGUEL RIVERA* and EDSEL ARANDIA
Despite the advances in technique and implants available, the treatment of neglected, unstable, irreducible intertrochanteric fractures in the elderly remains to be a challenge. The purpose of this study is to compare the functional outcome, complication rate, revision rate and mortality rate between the use of cemented Bipolar Hemiarthroplasty (BPH) and Proximal Femoral Nail (PFN) in the treatment of neglected, unstable, irreducible intertrochanteric fractures in patients aged 65 years old and above. A total of 35 patients (17 for BPH, 18 for PFN) were gathered prospectively for this study. Results show that there was no difference in functional outcome, complication rate, and revision rate between the two groups. There was a higher amount of blood loss and more mortality in the BPH group. The use of cemented hemiarthroplasty is a viable option for the treatment of intertrochanteric .. Read More»