Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. Structural and cellular assessment of bone quality of proximal femur. Dorr LD, Faugere MC, Mackel AM, Gruen TA, Bognar B, Malluche HH. Observed effect of femoral component undersizing and a collarless design in the development of radiolucent lines in cementless total hip arthroplasty. Magill P, Hill J, O’Brien S, Stevenson M, Machenaud A, Beverland D. Proximal/distal mismatch: type A and C femurs. The Relationship Between Canal Diameter and the Dorr Classification. Karayiannis PN, Cassidy RS, Hill JC, Dorr LD, Beverland DE. Results at six years in a consecutive series. Uncemented porous-coated anatomic total hip replacement. Hip hemi-arthroplasty for neck of femur fracture: What is the current evidence? World Journal of Orthopaedics 2018 9:235–44.ĩ. Cemented versus cementless hemiarthroplasty for a displaced fracture of the femoral neck. Veldman HD, Heyligers IC, Grimm B, Boymans TAEJ. Comparison of bipolar hemiarthroplasty with total hip arthroplasty for displaced femoral neck fractures: a concise four-year follow-up of a randomized trial. Hedbeck CJ, Enocson A, Lapidus G, Blomfeldt R, Tornkvist H, Ponzer S, et al. Primary total hip arthroplasty versus hemiarthroplasty for displaced intracapsular hip fractures in older patients: systematic review. Hopley C, Stengel D, Ekkernkamp A, Wich M. Journal of Orthopaedic Surgery 2014 22:92–5.ĥ. The Dorr type and cortical thickness index of the proximal femur for predicting peri-operative complications during hemiarthroplasty. Hip fractures in the elderly: a world-wide projection. Zeitschrift Fur Gerontologie Und Geriatrie 2019 52:10–6.ģ. Epidemiology of hip fractures: Systematic literature review of German data and an overview of the international literature. Rapp K, Büchele G, Dreinhöfer K, Bücking B, Becker C, Benzinger P. International Journal of General Medicine 2010 3:1–17.Ģ. Hip fracture epidemiological trends, outcomes, and risk factors, 1970-2009. Mean age was 79.7 and it was significantly higher in type C patients compared with others (p Harris Hip Score (HHS) and Likert pain scores at the last examinations were analyzed for clinical outcomes. Demographic findings, surgery time, blood loss during surgery, postoperative transfusion amount, complications, intensive care requirement, one year mortality and radiographic findings were assessed. Preoperative radiographies were assessed according to Dorr classification and patients were grouped into 3 groups as type A, B and C. Method: 107 patients who were older than 65 years with displaced intracapsular femur neck fracture and underwent cementless hemiarthroplasty were included. In our study we aimed to investigate the effect of proximal femur anatomy on clinical outcomes in patients who underwent cementless hemiarthroplasty. Effect of proximal femur anatomy variations according to the Dorr type in elderly patients who underwent hemiarthroplasty for intracapsular femur fractures on perioperative complications and functional outcomes have not been identified clearly yet. Objective: Femoral neck fractures are defined as epidemics worldwide, especially in the advanced age group, and pose an important risk for public health. Ortalama yaş 79,7 ve tip C olan hastalarda anlamlı olarak yüksek saptandı (p Klinik sonuçlar için son kontrollerindeki Harris Kalça Skoru (HKS) ve Likert ağrı skalaları hesaplandı. Demografik veriler, ameliyat süreleri, ameliyat sırası kan kaybı, ameliyat sonrası kan transfüzyon miktarları, komplikasyonları, yoğun bakım ihtiyaçları, 1 yıllık mortalite oranları, ameliyat öncesi ve sonrası radyografik bulguları incelendi.
Yöntem: Femur boyun kırığı nedeni ile çimentosuz hemiartroplasti yapılmış olan 65 yaş üzeri 107 hastaya röntgen görüntüleri incelenerek Dorr sınıflaması yapıldı ve bu sınıflandırmaya göre hastalar A, B ve C tipi olmak üzere üç gruba ayrıldı. Çalışmamızda, femur boyun kırığı nedeniyle çimentosuz hemiartroplasti uygulanan hastalarda proksimal femur anatomisinin klinik sonuçlara etkisini araştırmayı amaçladık. Hemiartroplasti uygulanan yaşlı femur boyun kırıklarında Dorr tipine göre proksimal femur anatomisindeki farklılıkların perioperatif komplikasyonlara ve fonksiyonel sonuçlara etkisi henüz tam olarak ortaya konulmamıştır. Amaç: Femur boyun kırıkları, özellikle ileri yaş grubunda dünya çapında epidemik olarak tanımlanmakta ve toplum sağlığı açısından önemli bir risk oluşturmaktadır.