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OUTCOME OF LONG STEM BIPOLAR HEMIARTHROPLASTY FOR UNSTABLE INTERTROCHANTERIC FRACTURE IN PEOPLE OLDER THAN 80 YEARS
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Abstract
Objectives: to evaluate the outcomes of long stem bipolar hemiarthroplasty for unstable intertrochanteric fractures in people older than 80 years. Methods: seventy two patients aged over 80 years underwent hemiarthroplasty to treat unstable intertrochanteric fractures at Joints Surgery Department, Military Hospital 103 from January 2019 to January 2022 and were followed up over 12 months. Results: The cohort comprised 23 men (31.9%) and 49 women (68.1%), mean of age 86.39 ± 3.7 (80 – 97 years). The duration of hospital stay postoperative was 10.9 ± 5.9 days (range 7-39). There were 16 patients with complications after surgery, 8 (11.1%) patient deaths at the twelve-month follow-up. The Barthel index score at 12 months was less than prior to fracture (85.9 vs. 96.9 points), recovery rate was 88% (p < 0.001). Conclusion: long stem hemiarthroplasty is an effective treatment choice for unstable intertrochanteric femoral fracture in people older than 80 years. The rate of complication was 22.2%, the rate of death was 11.1%, recovery rate was 88%.
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Keywords
Hemiarthroplasty, intertrochanteric fracture, elderly patients
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