Functional evaluation of cemented hemiorthroplasties as a treatment option for unstable intertrochanteric fractures in the elderly: A prospectively case series study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: The Management of unstable osteoporotic intertrochanteric fractures in elderly is challenging because of difficult anatomical reduction, with a high risk of morbidity and mortality, The aim of study is to do functional evaluation of primary cemented hemiarthroplasties as a treatment option in elderly patient. Material and Methods: We prospectively analyzed 27 cases of primary hemiorthroplasty performed for unstable intertrochanteric fractures. The functional outcomes were assessed based on Harris hip score. Result: The functional outcome is better with less time to full weight bearing and less postoperative complications. Conclusion: Hemiorthroplasty for unstable intertrochanteric fractures in elderly results in early ambulation with acceptable complications and good functional results.
Authors and Affiliations
Dr Ashok Yadav, Dr Amit Mishra, Dr Anil Yadav, Dr Pawan Kumar, Dr Dharmendra Kumar
Critical analysis of prognostic factors in fracture dislocation of hip
Background: Fracture dislocation of the hip is an absolute orthopaedic emergency which is increasing day by day. There are various factors determining the functional outcome in these patients. The aim of the study is to...
Treatment of type III Acromioclavicular dislocation with open reduction and percutaneous K-wire fixation
Background: The direct force acting on the shoulder from the lateral side with the arm in an adducted position is the main mechanism of injury in the vast majority of traumatic dislocations of the acromioclavicular joint...
Avascular necrosis of the femoral head due to sickle-cell disease in tribal population around Vishakhapatnam district, treated with core de-compression and non - vascularised fibular graft
Sickle-cell disease (SCD) is the most common cause of avascular necrosis (AVN) of the hip in childhood. It results in significant physical impairment and chronic pain, and ohen progresses to require hip replacement. Cons...
Management of comminuted distal metaphyseal tibial fractures with 3.5 mm anatomical anterolateral locking compression plate: A study of 34 cases
Introduction: Management of distal metaphyseal tibial fractures is a formidable challenge to the orthopaedic surgeon. Some of the confounding factors in management are delicate soft tissue in this area, presence of ankle...
Efficacy of local vancomycin in preventing surgical site infections following spinal instrumentation
Background: Surgical site infctions is one of the frequently seen complication following instrumented spinal surgeries. Although numerous prophylactic measures have been tried out to prevent surgical site infections, it...