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Submitted: 30 January 2014 Modified: 26 June 2014
HERDIN Record #: R04A-DLSHSI-14013009581329

Internal Fixation versus Hemiarthroplasty A Profile of Patients with Basicervical Fracture Treated Surgically in DLSUMC from 2007-2011

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Abstract

Objectives: To present a profile of patients with Basicervical Fractures treated surgically in DLSUMC from 2007-2011. To present a demographic data on patients sustaining Basicervical Fractures as to age, gender, laterality of the injury. To present different surgical treatments of Basicervical Fractures seen in our Institution with either Multiple Screw Fixation, Compression Hip Screw, Hemiarthroplasty.


Design: Descriptive study

Materials and Methods: Included in the study are 36 elderly patients with Basicervical Fractures surgically managed at DLSUMC from 2007 to 2011. Retrospective chart review was performed and data were obtained. Descriptive statistics were used for the variables.

Results: The mean age of patients in the study is 71 years old with majority of them are in the 70-80 year old bracket. Females are predominant (66.6% versus 33.3%) in gender frequency distribution. Right hip is slightly predominant (58.33% versus 41.67) for the laterality. Patients were surgically managed with Internal Fixation with either Multiple Screw Fixation or with Compression Hip Screw and Hemiarthroplsty with either Thompson or Austin Moore Prosthesis. Majority of patients were managed with Hemiarthroplasty (80.56%) with Thompson Prosthesis (62%) being used more often than Austin Moore (38%). Ground level fall (97%) is the most common cause of injury. Hemiarthroplasty was noted to have longer operating time (270 minutes versus 153 minutes), greater blood loss (355cc versus 128cc) and more incidents requiring blood transfusion (34.68% versus 20%) compared to internal fixation.

Conclusion: Based on the data gathered, it was noted that Hemiarthroplasty is the preferred procedure in the study population with the Thompson Prosthesis more commonly used

Key Words: Basicervical Fracture, Proximal Femur Fracture, Multiple Screw Fixation, Compression Hip Screw, Hemiarthroplasty, Austin Moore, Thompson

Objectives

Objectives: To present a profile of patients with Basicervical Fractures treated surgically in DLSUMC from 2007-2011. To present a demographic data on patients sustaining Basicervical Fractures as to age, gender, laterality of the injury. To present different surgical treatments of Basicervical Fractures seen in our Institution with either Multiple Screw Fixation, Compression Hip Screw, Hemiarthroplasty.

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3/F Room 6301 De La Salle Angelo King Medical Research Center Abstract Print Format

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