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The Outcome of Partial Arthroplasty for Treatment of Type 1 Intertrochanteric Fractures in Iraqi Elderly Patients
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| Author:
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RAAD JAWAD KADHIM
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| Abstract:
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Background: When a fracture affects the proximal end of the femur at an extracapsular location and between the greater and the lesser trochanter, a dense trabecular type of bone, the fracture is known as intertrochanteric fracture. Indeed, there are two principal risk factors for fractures affecting the proximal end of femur. These are the age related reduction in bone mineral density and falls. Arthroplasty is indicated in cases with severe comminuted fractures, osteoporotic bones that are not easily fixed by internal fixation and in case of degenerative arthritis.
Aim of the study: The aim of the current study was to assess the outcome of arthroplasty in 40 Iraqi patients with intertrochanteric fracture treated by arthroplasty. Patients and methods: The current study was conducted in Al-Diwaniyah teaching hospital, Al-Diwniyah province, Iraq. The study included 40 patients who were operated up on during the last 5 years. The first case is dated back to January the 3rd 2015 and the last case is dated back to September the 15th 2019. Variables included in the current study included age, gender, main clinical manifestations, history of chronic medical illness, preparation time, operative time, time of postoperative walking, intra-operative complications and post-operative complications.
Results: The time needed to prepare patients to operation was ranging from 1 to 2 days with a mean of 1.30 ±0.46 days. Operative time was ranging from 60 to 90 minutes with a mean of 74.13 ±9.67 minutes. All patients were able to walk during a maximum period of first day post-operatively after successful operation. Only single patient died and he was known to be hypertensive, diabetic and having ischemic heart disease and the cause of death was acute myocardial infarction with ventricular fibrillation. Surgical wound abscess was seen in one patient who was known to be diabetic mellitus. Dislocation happened in a single patient and was managed successfully.
Conclusion: for elderly patients with intertrochanteric fracture, partial hemiarthroplasty offers rapid mobilization with minimal rate of complications and may be preferred for internal fixation because of the high failure rate and higher rate of complications in association with internal fixation
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| Keyword:
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arthroplasty, intertrochanteric fractures, Iraq
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.01.292
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| Download:
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