Keywords : osteoporosis, hip fracture, old age
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 6, Pages 3016-3024
Currently, it is an urgent problem in orthopedics and traumatology. Bipolar arthroplasty for hip fractures has been developed in elderly patients. We studied the results bipolar arthroplasty for fractures of the femoral neck in the area of the hip joint in 32 patients. in order to obtain a tight "equatorial" or "frame" fit of the prosthesis, the acetabulum was expanded to 1 mm larger than the maximum size of the expander used to select the prosthesis. When patients have osteoporosis or have a wide medullary canal, then cement in the femur has always been used. After the operation, all patients underwent research to check pain, mobility and movement in the hip joint, as well as to check for loosening. The results of treatment were studied in 29 patients. Good and excellent results were obtained after 3 months in 23 (79.3%) patients, satisfactory in 4 (13.8%) and unsatisfactory in 2 (6.9%) patients. After 6 months. became good and excellent results were in 25 (86.2%) and 3 satisfactory (10.3%) and unsatisfactory in 1 (3.5%) patient. After 9 months. good and excellent results were observed in 27 (96.5%) and satisfactory in 1 (3.5%) patients. The average value after 3 months 3.2 - 2.0 points, after 6 months 2.6 - 1.2 points, after 9 months 1.3 - 1.0 points .. The advantage of the operation is the operation prostate, the operation time is short, hip dislocation low cost is not observed.