Thakur A, Lal M
Department of Orthopaedics, Indira Gandhi Medical College, Shimla, India.
Malays Orthop J. 2016 Mar;10(1):5-10. doi: 10.5704/MOJ.1603.002.
We would like to analyze the role of cemented hemiarthroplasty in elderly osteoporotic unstable intertrochanteric fractures through trochanteric fracture window. The study was conducted from July 2011 to July 2014. From a total of 265 consecutive patients with intertrochanteric fractures of 42 patients were selected according to inclusion criteria and results were analyzed prospectively. All patients were operated at tertiary care institute. Patients which matched the inclusion criteria were selected. 42 patients entered the study and all completed the study. Primary cemented hemiarthroplasty was done in all patients. Modified Harris Hip Score was used to assess all the patients. 42 patients were included in the study with an average age of 80.7 years. Only AO/OTA type 31-A2.2 and 31-A2.3 were included, average HHS at final follow up of three years was 86.2. No revision or reoperation was done. In a selected cohort of patients primary prosthetic replacement in elderly osteoporotic unstable intertrochanteric fractures is good option and the surgical technique allowed us to perform it more easily.
我们希望通过转子间骨折窗口分析骨水泥型半髋关节置换术在老年骨质疏松性不稳定转子间骨折中的作用。该研究于2011年7月至2014年7月进行。从265例连续的转子间骨折患者中，根据纳入标准选取42例患者，并对结果进行前瞻性分析。所有患者均在三级医疗机构接受手术。选取符合纳入标准的患者。42例患者进入研究且全部完成研究。所有患者均接受一期骨水泥型半髋关节置换术。采用改良Harris髋关节评分对所有患者进行评估。42例患者纳入研究，平均年龄80.7岁。仅纳入AO/OTA 31-A2.2型和31-A2.3型，三年最终随访时平均Harris髋关节评分（HHS）为86.2。未进行翻修或再次手术。在选定的患者队列中，老年骨质疏松性不稳定转子间骨折的一期假体置换是一种较好的选择，并且手术技术使我们能够更轻松地进行该手术。
