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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 511-520
DOI: 10.1055/s-0041-1732392
Artigo Original

Cemented Calcar Replacement versus Long Stem Cemented Hemiarthroplasty in Unstable Intertrochanteric Fractures in Octogenarians

Article in several languages: português | English
Kavin Khatri 
1   Departamento de Ortopedia, All India Institute of Medical Sciences, Bathinda, Punjab, India
,
Ravinder Kumar Banga 
2   Departamento de Ortopedia, Government Medical College, Patiala, Punjab, India
,
Neeraj Malhotra 
3   Departamento de Ortopedia, Government Medical College, Amritsar, Punjab, India
,
Deepak Bansal 
4   Departamento de Ortopedia, AIMC Bassi Hospital, Ludhiana, Punjab, India
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Abstract

Objective The aim of the present study was to compare functional results after Cemented Calcar replacement vis-a-vis Long stem Cemented hemiarthroplasty in patients aged more than 80 years with unstable intertrochanteric fractures.

Methods The present prospective, randomized trial included 140 patients with AO/OTA type 31-A2, A3 intertrochanteric femur fracture, randomized into 2 treatment groups and followed-up for a minimum of 2 years. Sixty-seven patients in group A were treated with a cemented calcar replacing prosthesis, and 65 patients in group B were treated with a cemented long stem femoral stem prosthesis. The primary end points were hip functions at 2 years. The secondary end points were the complications encountered, mortality, surgical time, reoperation, blood loss, and activities of daily living.

Results There were no major differences between the groups in terms of hip function, quality of life (health related), reoperation, mortality, and blood loss. However, the function in hip joint and activities of daily living deteriorated in both groups in comparison with prefracture levels.

Conclusion In octogenarians with an unstable intertrochanteric fracture, cemented calcar replacing prosthesis has similar clinical results in comparison with long stem cemented hemiarthroplasty. Hemiarthroplasty with either implant is a good option in this subset of patients. Level of evidence: I

Keywords

hemiarthroplasty - hip fractures - arthroplasty, replacement, hip - hip prosthesis

Financial and Material Support

Financial and material support was provided by the administration of the AIMC Bassi Hospital, Ludhiana, Punjab. pIncode-151001


Work developed at the Mediways Hospital, Ludhiana, Punjab, India.




Publication History

Received: 07 January 2021

Accepted: 08 March 2021

Article published online:
11 September 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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