Intramedullary fixation vs arthroplasty management of trochanteric fractures in elderly patients : A systematic review and meta-analysis study /
Ahmed Ibrahim Helmy
Intramedullary fixation vs arthroplasty management of trochanteric fractures in elderly patients : A systematic review and meta-analysis study / دراسة المراجعة المنهجية والتحليل التلوى فى مقارنة النتائج بين إستخدام المسمار النخاعى الفخذى وعمليات إستبدال وتقويم مفصل الفخذ لكسور الفخذ ما بين المدورين فى المرضى الذين تزيد اعمارهم عن ٦٠ عاماً Ahmed Ibrahim Helmy ; Supervised Mohamed Abdelhalim Kaddah , Mohamed Samir Gobba , Elsayed Mohamed Kassem - Cairo : Ahmed Ibrahim Helmy , 2021 - 136 P. : charts , facsimiles ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
Intertrochanteric fractures of the femur are very common in elderly people. Their incidence has increased due to the increased life expectancy and osteoporosis; fall is the main cause of injuries.¹ Most of the classification systems for intertrochanteric fractures have poor reliability and reproducibility. Intertrochanteric fractures are considered unstable in the presence of a comminuted posteromedial cortex, reverse obliquity, and subtrochanteric extension.² Early operation within 12 hours to 48 hours is mandatory in the relatively fit patients.The surgical goal is to achieve a painless and stable lower limb with early return of function, with the lowest rates of mortality and morbidity.³ As restoration of the preoperative ambulatory level correlated with survival rate after 1 year⁴ and elderly patients are often unable to cooperate with partial weight bearing, the primary stability of the device is crucial to allow early mobilization to prevent cardio-pulmonary complications and thrombosis.5 The mainstay of treatment of intertrochanteric hip fractures is internal fixation. Arthroplasty may be considered as a primary treatment in patients with highly unstable factures with poor bone quality, ipsilateral hip arthritis, or other conditions with a higher risk for early failure.⁵
Hip Arthroplasty Intertrochanteric Intramedullary Fixation
Intramedullary fixation vs arthroplasty management of trochanteric fractures in elderly patients : A systematic review and meta-analysis study / دراسة المراجعة المنهجية والتحليل التلوى فى مقارنة النتائج بين إستخدام المسمار النخاعى الفخذى وعمليات إستبدال وتقويم مفصل الفخذ لكسور الفخذ ما بين المدورين فى المرضى الذين تزيد اعمارهم عن ٦٠ عاماً Ahmed Ibrahim Helmy ; Supervised Mohamed Abdelhalim Kaddah , Mohamed Samir Gobba , Elsayed Mohamed Kassem - Cairo : Ahmed Ibrahim Helmy , 2021 - 136 P. : charts , facsimiles ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
Intertrochanteric fractures of the femur are very common in elderly people. Their incidence has increased due to the increased life expectancy and osteoporosis; fall is the main cause of injuries.¹ Most of the classification systems for intertrochanteric fractures have poor reliability and reproducibility. Intertrochanteric fractures are considered unstable in the presence of a comminuted posteromedial cortex, reverse obliquity, and subtrochanteric extension.² Early operation within 12 hours to 48 hours is mandatory in the relatively fit patients.The surgical goal is to achieve a painless and stable lower limb with early return of function, with the lowest rates of mortality and morbidity.³ As restoration of the preoperative ambulatory level correlated with survival rate after 1 year⁴ and elderly patients are often unable to cooperate with partial weight bearing, the primary stability of the device is crucial to allow early mobilization to prevent cardio-pulmonary complications and thrombosis.5 The mainstay of treatment of intertrochanteric hip fractures is internal fixation. Arthroplasty may be considered as a primary treatment in patients with highly unstable factures with poor bone quality, ipsilateral hip arthritis, or other conditions with a higher risk for early failure.⁵
Hip Arthroplasty Intertrochanteric Intramedullary Fixation