Turkish Journal of Geriatrics 2015 , Vol 18, Issue 4
Murat ERGÜN1, Tolga TOLUNAY2, Celal BOZKURT1, Kasım KILIÇARSLAN3, Arslan Kağan ARSLAN2
1 Ankara Gölbaflı Hasvak State Hospital, Orthopedics and Traumatology Clinic, ANKARA
2 Ankara Yenimahalle Training and Research Hospital, Orthopedics and Traumatology Clinic, ANKARA
3 Atatürk Training and Research Hospital, Orthopedics and Traumatology Clinic, ANKARA
Introduction: In this study, patients aged 65 years and over who were undergoing cemented bipolar hemiarthroplasty following hip fracture were divided into two groups:those with intracapsular and extracapsular hip fractures. We retrospectively compared the early-stage functionality and radiological results, perioperative complications, surgical durations and the length of preoperative and postoperative hospitalisation.

Materials and Method: The study enrolled 127 consecutive patients (aged 65 years or older) who were admitted to the Ankara Ataturk Training and Research Hospital between January 2008 and October 2011 because of intracapsular (Group 1) or extracapsular (Group 2) hip fracture and were treated by cemented bipolar partial hip replacement and followed up for at least 6 months. Modified Harris Hip score and Barthel Index of Activities of Daily Living were used to evaluate the functionality results. The success of hemiarthroplasty was evaluated using Kwok criteria.

Results: Average Harris Hip scores, postoperative Barthel Indices of the Activities of Daily Life scores, surgery durations, blood transfusion requirement and results based on Kwok criteria for the two groups were statistically significantly different (p<0.05). No statistically significant differences were found between the durations of preoperative and postoperative hospitalisations and the number of complications in the two groups.

Conclusion: The results demonstrate that bipolar hip replacement had better functional outcomes for intracapsular hip fractures than for extracapsular hip fractures. Keywords : Hip Fractures; Femoral Neck; Intertrochanteric; Hemiarthroplasty