Turkish Journal of Geriatrics 2010 , Vol 13, Issue 4
POSTOPERATIVE CLINICAL AND RADIOLOGICAL LENGTH DIFFERENCES IN ELDERLY PATIENTS WHO UNDERWENT PARTIAL ENDOPROSTHESIS SURGERY
Tolga ATAY1, Emre YAMAN1, Yakup Barbaros BAYKAL1, Vecihi KIRDEMİR1, Metin Lütfi BAYDAR1, Ahmet ASLAN2
1Süleyman Demirel Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Kliniği ISPARTA
2Dr. Münif İslamoğlu Kastamonu Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği KASTAMONU
Introduction: Today, although it is often ignored, preoperative planning is indispensable for total hip prosthesis surgery. In this study, we aimed to investigate if it was necessary to perform measurements in patients who underwent partial endoprosthesis surgery without any preoperative measurement.

Materials and Method: A total of 63 patients with femoral intertrochanteric and neck fractures who underwent partial endoprosthesis surgery between July 2007 and September 2008 were included in this study. Calcar replacement prosthesis, straight prosthesis and Thompson prosthesis was applied for 20, 35 and 8 patients respectively. Lower extremity lengths were determined for all patients via direct measurement and indirect graph evaluation methods. History and complaints of the patients were recorded.

Results: In graphical length measurements, 12 of 63 patients were normal, whereas operated side was shorter in 19 and was longer in 32 patients. In physical examination, 30 of 63 patients were normal, whereas operated side was shorter in 16 and was longer in 17 patients.

Conclusion: It can be concluded that preoperative measurement should be considered in order to minimize the complaints of length difference in the lower extremity bones. Keywords : Prostheses and Implants; Hip fractures; Aged, Arthroplasty, Replacement, Hip/methods; Treatment Outcome