Turkish Journal of Geriatrics 2010 , Vol 13, Issue 1
THE MID-TERM RESULTS OF PARTIAL HIP ARTHROPLASTY FOR PROXIMAL FEMUR FRACTURES IN ELDERLY PATIENTS
Kasım KILIÇARSLAN, Ismail DEMIRKALE, Hakan ÇIÇEK, Tansel MUTLU, Faruk ÇATMA, Çetin KAYAALP, Hasan YILDIRIM
Atatürk Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği ANKARA Introduction: The aim of the study was to evaluate the mid-term results of partial hip arthroplasty for proximal femur fractures in elderly patients. A consecutive series of 315 arthroplasties performed using cemented stem and bipolar cup were evaluated retrospectively.

Materials and Method: Mean follow-up was 40.5 ± 3.5 months, mean age was 82.9 ± 5 years and there were 195 women and 120 men. At the last follow-up, 102 (32.3 %) patients had died and 13 (4.1 %) could not be traced. The postoperative evaluation was done one year after the procedure by modified Harris functional scoring system and criteria for activities of daily living. The index used to evaluate activities of daily living includes criteria as bathing, using the toilet, alimentation, continence and carrying weight.

Results: The postoperative complications were infection in 21 patients, deep venous thrombosis in 36 patients, decubitis at in patients, heterotrophic ossification in two patients, sciatic nerve palsy in one patient and dislocation in seven patients.

Conclusion: The results demonstrate that partial hip arthroplasty is a good treatment alternative for proximal hip fractures in the elderly population. Keywords : Proximal femur fracture; Partial hip arthoplasty; Mortality