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The Archives of Bone and Joint Surgery، جلد ۱، شماره ۱، صفحات ۱۴-۱۷
عنوان فارسی
چکیده فارسی مقاله
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عنوان انگلیسی Comparison of Intertrochanteric Fracture Fixation with Dynamic Hip Screw and Bipolar Hemiarthroplasty Techniques
چکیده انگلیسی مقاله Background: At present, there is no consensus on an appropriate treatment modality for intertrochanteric fractures in the elderly with background diseases. The aim of the present study was to compare treatment outcomes of intertrochanteric fractures reduced with dynamic hip screws (DHS) and bipolar hemiarthroplasty in elderly patients with background medical conditions. Methods: In this randomized clinical trial, 60 patients with intertrochanteric fractures, who were 45-60 years old, were randomly divided into DHS and bipolar groups. After treatment, the two groups were compared in relation to complications and mortality rates, functional status using the Harris Hip Score (HHS), range of movement and severity of pain using the visual analogue score (VAS). Results: HHS (86±9 vs. 75±7.6), range of flexion (105±11 degrees vs. 90±17 degrees) and external rotation (35±7 degrees vs. 20±7 degrees) were significantly higher in the bipolar group compared to the DHS group (P< 0.05). However, there were no significant differences in pain severity between the two groups. Conclusion: Reduction of intertrochanteric fractures in elderly patients with background medical conditions is more effective and less problematic with the bipolar technique compared to DHS and is better tolerated by patients, because this technique is associated with improvements in functional status and hip joint movement range.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله محمد امامی | mohammad emami
department of orthopedic surgery, shahid beheshti uni- versity of medical sciences, tehran, iran.


علیرضا منافی | ali reza manafi
department of orthopedic surgery, shahid beheshti uni- versity of medical sciences, tehran, iran.


بهروز هاشمی | behroz hashemi
department of orthopedic surgery, shahid beheshti university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

علی نعمتی | ali nemati
department of orthopedic surgery, shahid beheshti uni- versity of medical sciences, tehran, iran.


سعید صفری | saeed safari
department of orthopedic surgery, shahid beheshti uni- versity of medical sciences, tehran, iran.
نشانی اینترنتی http://abjs.mums.ac.ir/article_1732.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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