Title Hip replacement in intertrochanteric femur fractures /
Translation of Title Hip Replacement in Intertrochanteric Femur Fractures.
Authors Peuser, Fabian
Full Text Download
Pages 31
Keywords [eng] Intertrochanteric fractures, Hemiarthroplasty, Arthroplasty, Dynamic Hip Screw, Proximal Femoral Nail Antirotation
Abstract [eng] Intertrochanteric fractures are one of the most common fractures of the elderly. With an aging population the incidence is projected to double by the year 2050. The treatment of that fracture type is up to debate with respect to well-known complications of the current treatment. Due to demographic changes the patient group of patients at risk for developing these complication different voices have proposed the use of hemiarthroplasty as primary treatment modality. The role of total arthroplasty remains small and reserved for a small patient population. Different studies have worked on this topic over the last years and found heterogenous results. Some of the papers describe primary hemiarthroplasty as a valuable alternative in the treatment of intertrochanteric fractures, while others are warning that this treatment modality might put the patients’ health at risk. What becomes clear throughout the studies is the early weight-bearing opportunity of hemiarthroplasty is an aspect that might improve the early outcome of patients, that are at high risk of a loss of independence due to loss of physical capabilities. The comparability and significance of the different studies is complicated by different treatment modalities that are compared within the studies and the large scale of sample size in the studies. To improve the treatment and the outcome of patients with intertrochanteric fractures and evaluate the possible usage of hemiarthroplasty in these fractures, more and larger scale scientific work is needed. Especially the identification of patient subgroups that would benefit and those that would be harmed using hemiarthroplasty is needed.
Dissertation Institution Vilniaus universitetas.
Type Master thesis
Language English
Publication date 2024