J Korean Hip Soc 2008; 20(2): 131-137
Published online June 1, 2008
© The Korean Hip Society
황성관∙심영준∙양재형∙강동현
연세대학교 원주의과대학 정형외과
Correspondence to : 황성관
강원도 원주시 일산동 162 연세대학교 원주의과대학 정형외과
TEL: 82-33-741-1351
FAX: 82-33-746-7326
E-mail: hwtonlka@yonsei.ac.kr
Purpose: This study evaluated the effectiveness of bipolar hemiarthroplasty with a cementless femoral stem for hip fractures in patients older than 70 years with osteoporosis.
Materials and Methods: This study examined 84 hips with osteoporosis that are available to follow up of more than 2 years, between July 1997 and May 2006. The clinical evaluation was carried out using the Koval classification before the fracture and at the last follow-up, and the Harris hip score at the last follow up. The radiological evaluation was carried out using the plain radiographs.
Results: The average follow up period was 31.4 months. The Koval classification was as follows: recovery to the condition before the fracture in 25 cases (30.1%), degradation by 1 class in 56 cases (67.5%) and degradation by 2 classes in 2 cases (2.4%). The Harris hip score was 82.7 points at the last follow-up. One case (1.2%) showed cortical hypertrophy and all cases showed stable insertion of the femoral stem.
Conclusion: Bipolar hemiarthroplasty with a cementless femoral stem is effective and satisfactory, both clinically and radiologically, for the treatment of elderly patients with fractures around the hip.
Keywords Fracture, Femur, Neck, Intertrochanter, Cementless stem, Bipolar hemiarthroplasty
J Korean Hip Soc 2008; 20(2): 131-137
Published online June 1, 2008 https://doi.org/10.5371/jkhs.2008.20.2.131
Copyright © The Korean Hip Society.
황성관∙심영준∙양재형∙강동현
연세대학교 원주의과대학 정형외과
Sung Kwan Hwang, M.D. Ph.D., Young Jun Shim, M.D., Jea Heung Yang, M.D., Dong Hyon Kang, M.D.
Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University, Wonju, Korea
Correspondence to:황성관
강원도 원주시 일산동 162 연세대학교 원주의과대학 정형외과
TEL: 82-33-741-1351
FAX: 82-33-746-7326
E-mail: hwtonlka@yonsei.ac.kr
Purpose: This study evaluated the effectiveness of bipolar hemiarthroplasty with a cementless femoral stem for hip fractures in patients older than 70 years with osteoporosis.
Materials and Methods: This study examined 84 hips with osteoporosis that are available to follow up of more than 2 years, between July 1997 and May 2006. The clinical evaluation was carried out using the Koval classification before the fracture and at the last follow-up, and the Harris hip score at the last follow up. The radiological evaluation was carried out using the plain radiographs.
Results: The average follow up period was 31.4 months. The Koval classification was as follows: recovery to the condition before the fracture in 25 cases (30.1%), degradation by 1 class in 56 cases (67.5%) and degradation by 2 classes in 2 cases (2.4%). The Harris hip score was 82.7 points at the last follow-up. One case (1.2%) showed cortical hypertrophy and all cases showed stable insertion of the femoral stem.
Conclusion: Bipolar hemiarthroplasty with a cementless femoral stem is effective and satisfactory, both clinically and radiologically, for the treatment of elderly patients with fractures around the hip.
Keywords: Fracture, Femur, Neck, Intertrochanter, Cementless stem, Bipolar hemiarthroplasty
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