A Comparison of Bipolar Hemiarthroplasty versus Dynamic Hip Screw Fixation of Basicervical Femoral Neck Fractures
Background: Surgical treatment of basicervical femoral neck fractures, which is biomechanically similar to intertrochanteric fractures, is an internal fixation by DHS and anti-rotation screw. Since devise failure is one of the most noticeable complications of these surgical procedures, this stud...
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Tehran University of Medical Sciences
2020-07-01
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doaj-7ea3c9e6079d423b9065e33c1576220f2021-07-28T07:05:58ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002020-07-015110.18502/jost.v5i1.3321A Comparison of Bipolar Hemiarthroplasty versus Dynamic Hip Screw Fixation of Basicervical Femoral Neck FracturesAli Mousapour0Keykhosro Mardanpour1Adel hojabrian2Morteza Saeb3Seyyd Saeed Khabiri4Roya Safari-Faramani5Monireh Yaghoubi6Sepehr Rahimipour7Alireza Shafiee8Assistant Professor, Department of Orthopedic Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranAssociate Professor, Department of Orthopedic Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranSenior Resident, Department of Orthopedic Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranAssociate Professor, Department of Orthopedic Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranAssistant Professor, Department of Orthopedic Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranAssistant Professor, Department of Epidemiology, Research Center for Environmental Determinants of Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, IranSenior Resident, Department of Orthopedic Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranSenior Resident, Department of Orthopedic Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranSenior Resident, Department of Orthopedic Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran Background: Surgical treatment of basicervical femoral neck fractures, which is biomechanically similar to intertrochanteric fractures, is an internal fixation by DHS and anti-rotation screw. Since devise failure is one of the most noticeable complications of these surgical procedures, this study aimed to compare the bipolar Hemi-arthroplasty with DHS plate internal fixation in elderly patients with a basicervical femoral neck fracture. Methods: This is a randomized controlled clinical trial in which 60 patients with femoral neck fractures were divided into two groups of 30 control (DHS fixation) and intervention (Bipolar hemiarthroplasty) randomly. Functional evaluation was completed by the HHS questionnaire and VAS scale for pain assessment, postoperative complications at 6 months and one year postoperatively. Data were analyzed using Stata software. Findings: The overall mean age in the control group was 73.95± 9.85 and in the intervention group 74.22±7.85 years. Three patients in the intervention group and 6 patients in the control group were excluded. HHS in Sixth months and one year after surgery were significantly higher in the bipolar group compared to the DHS group(p-value<0.0003and p-value < 0.0097). there were no significant differences in VAS between the two groups (p-value<0.4557 and p-value < 0.4578).The rate of device failure in the control group was 2 cases. Conclusion: Overall, the results of this study show that bipolar hemiarthroplasty surgery is more effective than internal fixation by DHS plate in improving the patients' quality of life based on the HHS scores, and the lower failure rate as well as diminishing of the reoperation rate.https://jost.tums.ac.ir/index.php/jost/article/view/162Femoral Neck Fractures; Hemiarthroplasty; Fracture Fixation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ali Mousapour Keykhosro Mardanpour Adel hojabrian Morteza Saeb Seyyd Saeed Khabiri Roya Safari-Faramani Monireh Yaghoubi Sepehr Rahimipour Alireza Shafiee |
spellingShingle |
Ali Mousapour Keykhosro Mardanpour Adel hojabrian Morteza Saeb Seyyd Saeed Khabiri Roya Safari-Faramani Monireh Yaghoubi Sepehr Rahimipour Alireza Shafiee A Comparison of Bipolar Hemiarthroplasty versus Dynamic Hip Screw Fixation of Basicervical Femoral Neck Fractures Journal of Orthopedic and Spine Trauma Femoral Neck Fractures; Hemiarthroplasty; Fracture Fixation |
author_facet |
Ali Mousapour Keykhosro Mardanpour Adel hojabrian Morteza Saeb Seyyd Saeed Khabiri Roya Safari-Faramani Monireh Yaghoubi Sepehr Rahimipour Alireza Shafiee |
author_sort |
Ali Mousapour |
title |
A Comparison of Bipolar Hemiarthroplasty versus Dynamic Hip Screw Fixation of Basicervical Femoral Neck Fractures |
title_short |
A Comparison of Bipolar Hemiarthroplasty versus Dynamic Hip Screw Fixation of Basicervical Femoral Neck Fractures |
title_full |
A Comparison of Bipolar Hemiarthroplasty versus Dynamic Hip Screw Fixation of Basicervical Femoral Neck Fractures |
title_fullStr |
A Comparison of Bipolar Hemiarthroplasty versus Dynamic Hip Screw Fixation of Basicervical Femoral Neck Fractures |
title_full_unstemmed |
A Comparison of Bipolar Hemiarthroplasty versus Dynamic Hip Screw Fixation of Basicervical Femoral Neck Fractures |
title_sort |
comparison of bipolar hemiarthroplasty versus dynamic hip screw fixation of basicervical femoral neck fractures |
publisher |
Tehran University of Medical Sciences |
series |
Journal of Orthopedic and Spine Trauma |
issn |
2538-2330 2538-4600 |
publishDate |
2020-07-01 |
description |
Background: Surgical treatment of basicervical femoral neck fractures, which is biomechanically similar to intertrochanteric fractures, is an internal fixation by DHS and anti-rotation screw. Since devise failure is one of the most noticeable complications of these surgical procedures, this study aimed to compare the bipolar Hemi-arthroplasty with DHS plate internal fixation in elderly patients with a basicervical femoral neck fracture.
Methods: This is a randomized controlled clinical trial in which 60 patients with femoral neck fractures were divided into two groups of 30 control (DHS fixation) and intervention (Bipolar hemiarthroplasty) randomly. Functional evaluation was completed by the HHS questionnaire and VAS scale for pain assessment, postoperative complications at 6 months and one year postoperatively. Data were analyzed using Stata software.
Findings: The overall mean age in the control group was 73.95± 9.85 and in the intervention group 74.22±7.85 years. Three patients in the intervention group and 6 patients in the control group were excluded. HHS in Sixth months and one year after surgery were significantly higher in the bipolar group compared to the DHS group(p-value<0.0003and p-value < 0.0097). there were no significant differences in VAS between the two groups (p-value<0.4557 and p-value < 0.4578).The rate of device failure in the control group was 2 cases.
Conclusion: Overall, the results of this study show that bipolar hemiarthroplasty surgery is more effective than internal fixation by DHS plate in improving the patients' quality of life based on the HHS scores, and the lower failure rate as well as diminishing of the reoperation rate. |
topic |
Femoral Neck Fractures; Hemiarthroplasty; Fracture Fixation |
url |
https://jost.tums.ac.ir/index.php/jost/article/view/162 |
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