Primary bipolar hemiarthroplasty versus dynamic hip screw fixation in management of unstable three and four parts intertrochanteric fractures in elderly / Elsayed Mohamed Ahmed Kassem ; Supervised Ihab Negm , Ahmed Mahmoud Mohamed Atteya , Fouad Zamel Sadek
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- معالجة الكسور الغير ثابته بين مدورى عظمة الفخذ فى المرضى كبار السن باستخدام نصف مفصل اسمنتى ثنائى القطبين او التثبيت بواسطة مسمار الفخذ الديناميكى [Added title page title]
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قاعة الرسائل الجامعية - الدور الاول | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.25.Ph.D.2014.El.P (Browse shelf(Opens below)) | Not for loan | 01010110064116000 | ||
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مخـــزن الرســائل الجـــامعية - البدروم | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.25.Ph.D.2014.El.P (Browse shelf(Opens below)) | 64116.CD | Not for loan | 01020110064116000 |
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Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery
Intertrochanteric femoral fractures are the most important health problems among the elder population, which orthopedic surgeons encounter. They make up 50% of all hip fractures. Many of these fractures are stable two part fractures that can be treated satisfactorily with a dynamic hip screw. But 35 {u2013} 40% are unstable three and four part fractures that are associated with high rates of morbidity and mortality. The reported overall failure rate with internal fixation in intertrochanteric fractures is 3 {u2013} 16.5%. The rate is higher in unstable fractures. Due to high failure rate and complications associated with internal fixation, many authors have used hemiarthroplasty and total hip arthroplasty as primary treatment of these fractures. The aim of our work is to compare the results of management of unstable three and four parts intertrochanteric fracture of the femur by either fixation by dynamic hip screw or primary bipolar hemiarthroplasty as regarding return to pre fracture level of activity, hip function, one year mortality and complications rate
Issued also as CD
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