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:: Volume 13, Issue 5 (december & january 2008) ::
pajoohande 2008, 13(5): 391-396 Back to browse issues page
A Comparative Study between DHS Application in Solitude and with Calcium Phosphate Cement Augmentation in Treatment of Unstable Intertrochanteric Fractures
Khatibi H * , Ebrahimpour A , Emami MM , Abrishami S , Valaei N , Abouali G HR
, h_khatibi @ IRIMC.org
Abstract:   (11735 Views)
Background: Unstable intertrochanteric fractures are common problems with unfortunate complicated consequences. There is no reliable record in this regard in Iranian medical literature. This study assessed the outcomes of unstable intertrochanteric fractures treated with DHS with and without cement augmentation in a three-year period (2005-2008). Materials and Methods: 39 patients with unstable intertrochanteric fracture were randomly divided between the experimental (DHS + Calcium phosphate cement) and control groups (DHS alone) after matching. After a six-month follow-up, the incidence of cut-out of femoral head, fracture impaction (sliding) and Iowa hip score were measured in two groups and were evaluated statistically. Results: 20 patients in control group and 19 patients in experimental group were evaluated. Their age was 725.4 year old in control group and 74.66.2 in experimental group. Cut-out incidence was 15% in control group, whereas there was no complication in experimental group (P<0.12). Fracture impaction in control group was 15.4  4.7mm and in experimental group it was 8.92.5mm (P<0.001). Iowa hip score was 58.1  6.6 in control group and in experimental group it was 70.12.7 by the end of 6th week (P<0.05). However, at 3rd and 6th months of follow up it became equal amongst both groups. Conclusion: Applying this material can obviously improve the clinical outcome of this sort of fractures. We recommend further studies on greater number of cases.
Keywords: Unstable intertrochanteric fracture, DHS, Calcium phosphate cement
Full-Text [PDF 140 kb]   (1837 Downloads)    
Type of Study: Original | Subject: Medicine
Received: 2017 | Accepted: 2017 | Published: 2017
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Khatibi H, Ebrahimpour A, Emami MM, Abrishami S, Valaei N, Abouali G HR. A Comparative Study between DHS Application in Solitude and with Calcium Phosphate Cement Augmentation in Treatment of Unstable Intertrochanteric Fractures. pajoohande 2008; 13 (5) :391-396
URL: http://pajoohande.sbmu.ac.ir/article-1-703-en.html
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Volume 13, Issue 5 (december & january 2008) Back to browse issues page
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