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Ngày xuất bản: 28/04/2025
Số lượt xem tóm tắt: 16
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DOI: https://doi.org/10.56535/jmpm.v50i4.1194
Số xuất bản
Tập 50 Số 4 (2025): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ SỐ 4 - 2025
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Bài báo
Trích dẫn bài báo
Pham, N. T., Nguyen, Q. C., Nguyen, T. T., & Vu, A. D. (2025). OUTCOMES OF LONG-STEM CEMENTLESS HEMIARTHROPLASTY FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES IN GERIATRIC PATIENTS: A TWO-YEAR FOLLOW-UP STUDY. Tạp chí Y Dược học Quân sự, 50(4), 239-246. https://doi.org/10.56535/jmpm.v50i4.1194

OUTCOMES OF LONG-STEM CEMENTLESS HEMIARTHROPLASTY FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES IN GERIATRIC PATIENTS: A TWO-YEAR FOLLOW-UP STUDY

Pham Ngoc Thang1, Nguyen Quoc Cuong1, Nguyen Thanh Thao2, Vu Anh Dung1,2,
1 Military Hospital 103, Vietnam Military Medical University
2 Kanazawa Medical University Hospital

Nội dung chính của bài viết

Tóm tắt

Objectives: To assess the clinical outcomes of primary long-stem cementless bipolar hip arthroplasty as a treatment option for unstable intertrochanteric femoral fractures in geriatric patients. Methods: A retrospective study was conducted on 67 elderly patients aged > 70 years old with unstable intertrochanteric femoral fractures. Clinical outcomes were assessed based on the duration of walking without support, length of hospital stay, mortality rate, Harris Hip scores (HHS), and postoperative complications. Results: The mean age of patients was 84.34 ± 6.67. Fracture types included 43 cases of A2.2, 19 cases of A2.3, and 5 cases of A3.1. The mean follow-up duration was 27.89 ± 10.24 months. The mean duration of hospitalization was 15.37 ± 5.09 days. Median HHS at the last follow-up was 81.61 ± 7.06. Postoperative complications were four cases of pulmonary infection and one case of postoperative dislocation. During follow-up, the postoperative mortality rate was 5.97%. Conclusions: Primary cementless bipolar hemiarthroplasty is a secure and effective choice for the treatment of intertrochanteric femoral fracture in the elderly.

Chi tiết bài viết

Từ khóa

Hemiarthroplasty, Geriatric patient, Intertrochanteric fracture, Cementless bipolar, Long-stem

Tài liệu tham khảo

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