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Bipolar Hemiarthroplasty Using Calcar Replacement Stem for Hip Fractures in the Elderly
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Duk Hwan Kho, Ki Hwan Kim, Hyeung June Kim, Dong Heon Kim
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J Korean Fract Soc 2008;21(3):232-239. Published online July 31, 2008
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DOI: https://doi.org/10.12671/jkfs.2008.21.3.232
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Abstract
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To evaluate the results of bipolar hemiarthroplasty using calcar replacement stem for hip fractures in elderly patients. MATERIALS AND METHODS Between March 1995 and March 2005, the clinical records on 68 cases more than 75 years old who underwent the bipolar hemiarthroplasty using calcar replacement stem and followed minimum 2 years were reviewed. We evaluated the results by modified Harris hip score, walking ability, activity of daily living, complications, osteoporosis and radiologic findings. RESULTS The mean postoperative modified Harris hip score was 88.3 (69~95) in femoral neck fractures and 83.5 (63~91) in femoral intertrochanteric fractures. Walking ability was recovered in 82.3% (56 cases) and activity of daily living was achived in 82.3% (56 cases). Complications were thigh pain, infection, femoral stem subsidence, stress shield, dislocation. CONCLUSION We consider bipolar hemiarthroplasty using calcar replacement stem for unstable hip fractures in elderly patients with severe osteoporosis is the useful treatment in view of the stable and rigid fixation, early ambulation and the low rate of complications, even if the operation is technically very difficult.
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Citations
Citations to this article as recorded by 
- Bipolar Hemiarthroplasty With a Calcar Stem for the Management of a Failed Proximal Femoral Nail Anti-rotation Asia (PFNA2) in a Case of Geriatric Unstable Intertrochanteric Femur Fracture
Mukesh O Phalak, Tushar Chaudhari, Ajinkya K Chaudhari Cureus.2024;[Epub] CrossRef - Bipolar Hemarthroplasty Using Cementless Conical Stem for Treatment of Dorr Type B and C Femoral Neck Fracture
Jeong Hoon Kang, Sang Hong Lee, Sung Jung Hip & Pelvis.2015; 27(4): 232. CrossRef - Assessment of the Clinical Features of Bilateral Sequential Hip Fractures in the Elderly
Duk-Hwan Kho, Ju-Yong Shin, Hyeung-June Kim, Dong-Heon Kim The Journal of the Korean Orthopaedic Association.2009; 44(3): 369. CrossRef - Bipolar Hemiarthroplasty for Femoral Basicervical Fractures in the Elderly
Duk-Hwan Kho, Ki-Hwan Kim, Hyeung-Jun Kim, Dong-Heon Kim Journal of the Korean Fracture Society.2009; 22(4): 239. CrossRef
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