Treatment of Femoral Neck Fractures With Bipolar Hemiarthroplasty Using a Modified Minimally Invasive Posterior Approach in Patients With Neurological Disorders
| Autor: | Yong Sik Kim, Soo Hwan Kang, Suk Ku Han |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Arthroplasty Replacement Hip medicine.medical_treatment Blood Loss Surgical Joint Dislocations Bipolar hemiarthroplasty Comorbidity Femoral Neck Fractures Posterior approach Postoperative Complications Outcome Assessment Health Care Republic of Korea medicine Humans Minimally Invasive Surgical Procedures Orthopedics and Sports Medicine Joint dislocation Aged Retrospective Studies Aged 80 and over business.industry Retrospective cohort study Bone Malalignment Length of Stay medicine.disease Arthroplasty Surgery Female Nervous System Diseases business Complication |
| Zdroj: | Orthopedics. 35 |
| ISSN: | 1938-2367 0147-7447 |
| Popis: | Bipolar hemiarthroplasty is a useful treatment for displaced femoral neck fractures in elderly patients. Although uncommon, dislocation is problematic, particularly in older patients, and those with neurologic disorders are at an increased risk for this complication. Recently, a modified posterior approach to the hip intended to enhance hip joint stability by preserving the short external rotators was described. Therefore, the dislocation rate was compared after bipolar hemiarthroplasty using the modified or standard minimally invasive posterior approach. A retrospective analysis was performed of 67 patients older than 65 years with displaced femoral neck fractures and neurological disorders who underwent bipolar hemiarthroplasty using the modified and standard approaches in 28 and 39 hips, respectively. Follow-up averaged 19.3 months. Dislocation rates for the treatment and control groups were 0% and 7.7%, respectively ( P |
| Databáze: | OpenAIRE |
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