Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly

ÇANKAYA, Deniz; TABAK, Abdullah Yalçın; ÖZKURT, Bülent

Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly

Deniz ÇANKAYA, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Arastırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye)

Bülent ÖZKURT, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Arastırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye)

Abdullah Yalçın TABAK (Sağlık Bakanlığı, Ankara Numune Eğitim ve Arastırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2013 Cilt: 19 Sayı: 6 Sayfa Aralığı: 548 - 553 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly

Öz:

AMAÇ: İnstabil (dengesiz) intertrokanterik femur kırıklarının yaşlılardaki tedavisi, içten tespitteki yüksek başarısızlık oranları nedeniyle halen üzerinde görüş birliği olmayan bir sorundur. Hemiartroplasti, yaşlı hastalarda tercih edilen tedavi seçeneklerinden biridir. Bu çalışmada, yaşlı hastalarda görülen dengesiz intertrokanterik femur kırıkları için, çimentosuz ve çimentolu parsiyel artroplastilerin güvenilirlikleri karşılaştırıldı. GEREÇ VE YÖNTEM: 2008 ile 2010 yılları arasında AO sınıflamasına göre 31 A2 tipi intertrokanterik femur kırığı olan 86 yaşlı hastaya, çimentosuz (n=40) ve çimentolu (n=46) parsiyel artroplasti uygulandı. Hastaların cerrahi süreleri, kan kayıpları, kan transfüzyonları, Harris kalça skorları, femoral komponentlerin gevşemeleri, hastanede kalma süreleri ve ölüm oranları kaydedildi. BULGULAR: Gruplar arasında, kan transfüzyonu, hastanede kalış süresi, implant gevşeme oranları, Harris kalça skorları ve takiplerdeki ölüm oranları açısından fark yoktu. Yürüme yeterliliği erken dönemde çimentolu grupta daha iyiydi. Cerrahi zamanı, kan kaybı ve perioperatif ölüm oranları çimentosuz grupta anlamlı derecede düşüktü. TARTIŞMA: Çimentosuz hemiartroplasti ileri yaş grubundaki hastalarda görülen dengesiz intertrokanterik femur kırıklarının tedavisinde erken mobilizasyona olanak tanımasıyla, kabul edilebilir fonksiyonel sonuçlarıyla, düşük implant gevşeme oranlarıyla, daha kısa cerrahi süresiyle, daha az kanamayla ve daha düşük perioperatif ölüm oranıyla güvenilir bir tedavi seçeneğidir.

Anahtar Kelime:

Konular: Cerrahi

Yaşlı hastalarda görülen dengesiz intertrokanterik kırıkların tedavisinde, çimentosuz ve çimentolu kalkar replasmanlı hemiartroplastinin karşılaştırılması

Öz:

BACKGROUND: Unstable intertrochanteric fractures remain a challenging problem in elderly individuals due to high failure rates associated with internal fixation. Hemiarthroplasty is one treatment option for intertrochanteric femur fractures in elderly patients. The aim of the present study was to compare the reliability of cementless and cemented hemiarthroplasty for unstable intertrochan- teric femur fractures in elderly patients. METHODS: Elderly patients with AO type 31-A2 intertrochanteric femur fractures were treated with cemented (n=40) or cement- less (n=46) hemiarthroplasty. Duration of surgery, amount of blood loss and blood transfusion, Harris hip scores, rate of loosening of the femoral component, duration of hospital stay after surgery and mortality rates were recorded. RESULTS: There were no significant differences between the groups in length of hospital stays, Harris hip scores, amount of blood transfusions, implant loosening and follow-up mortality rates. Walking ability was better in the cemented group in the early follow-up period. Duration of surgery, amount of blood loss and perioperative mortality rates were significantly lower in the cementless group than in the cemented group. CONCLUSION: Cementless hemiarthroplasty is a reliable treatment choice for unstable intertrochanteric femur fractures in elderly patients with early mobilization, acceptable functional results, low implant loosening rates, shorter surgery time, lesser blood loss and lower perioperative mortality rate.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ÇANKAYA D, ÖZKURT B, TABAK A (2013). Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. , 548 - 553.
Chicago	ÇANKAYA Deniz,ÖZKURT Bülent,TABAK Abdullah Yalçın Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. (2013): 548 - 553.
MLA	ÇANKAYA Deniz,ÖZKURT Bülent,TABAK Abdullah Yalçın Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. , 2013, ss.548 - 553.
AMA	ÇANKAYA D,ÖZKURT B,TABAK A Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. . 2013; 548 - 553.
Vancouver	ÇANKAYA D,ÖZKURT B,TABAK A Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. . 2013; 548 - 553.
IEEE	ÇANKAYA D,ÖZKURT B,TABAK A "Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly." , ss.548 - 553, 2013.
ISNAD	ÇANKAYA, Deniz vd. "Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly". (2013), 548-553.

APA	ÇANKAYA D, ÖZKURT B, TABAK A (2013). Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. Ulusal Travma ve Acil Cerrahi Dergisi, 19(6), 548 - 553.
Chicago	ÇANKAYA Deniz,ÖZKURT Bülent,TABAK Abdullah Yalçın Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. Ulusal Travma ve Acil Cerrahi Dergisi 19, no.6 (2013): 548 - 553.
MLA	ÇANKAYA Deniz,ÖZKURT Bülent,TABAK Abdullah Yalçın Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. Ulusal Travma ve Acil Cerrahi Dergisi, vol.19, no.6, 2013, ss.548 - 553.
AMA	ÇANKAYA D,ÖZKURT B,TABAK A Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(6): 548 - 553.
Vancouver	ÇANKAYA D,ÖZKURT B,TABAK A Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(6): 548 - 553.
IEEE	ÇANKAYA D,ÖZKURT B,TABAK A "Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly." Ulusal Travma ve Acil Cerrahi Dergisi, 19, ss.548 - 553, 2013.
ISNAD	ÇANKAYA, Deniz vd. "Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly". Ulusal Travma ve Acil Cerrahi Dergisi 19/6 (2013), 548-553.