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《Chinese Journal of General Practice》 2012-09
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Cemented Bipolar Hemiarthroplasty for Unstable Intertrochanteric Fractures in Aged Patients

MIAO Xiao-gang,Ha Baxi·kaken,ZHAO Xi-bin,et al.Department of Orthopedics,Xinjiang Uygur Autonym Region People's Hospital,Urumqi 830001,Xinjiang,China  
Objective To investigate the therapeutic effect of cemented bipolar hemiarthroplasty in the treatment of unstable intertrochanteric fractures in aged patients and its operation indicates.Methods Twenty nine cases aged over 75 years old received cemented bipolar hemiarthroplasty from January 2009 to June 2010,18 male,11 female aged from 75-93 years old,average 80 years.According to Jensen type,there were type Ⅲ 12 cases,type Ⅳ 14 cases,type Ⅴ 3 cases.The preoperative bone densitometry with Dual-energy X-ray absorptiometry indicated that all patients were with osteoporosis(BMD:below-2.5).After the operation,all patients were follow-up 1 year and received Harris score.Results One case has bone cement reaction during operation.Incision was primary healing post-operation.The follow-up showed that one case was dead from coronary heart disease 4 months after operation,2 cases dead from cerebral infarction;one case was dead from pulmonary infection 2 months after operation.According to the Harris score,best: 8 cases,better:14 cases,acceptable:7 cases,patients can to get out of bed at early-time post-operation,also less complication.Conclusion The operative procedure of cemented bipolar hemiarthroplasty is easy and has less post-operation complication,and can be selected for unstable intertrochanteric fractures in aged patients.
【CateGory Index】: R687.3
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