ID | 61430 |
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Author |
Tetsunaga, Tomoko
Department of Orthopaedic Surgery, Okayama University Hospital
Yamada, Kazuki
Department of Medical Materials for Musculoskeletal Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Sanki, Tomoaki
Department of Orthopaedic Surgery, Okayama University Hospital
Kawamura, Yoshi
Department of Orthopaedic Surgery, Okayama University Hospital
Ozaki, Toshifumi
Department of Orthopaedic Surgery, Okayama University Hospital
Kaken ID
publons
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Abstract | In bipolar hemiarthroplasty (BHA), it is important to preserve soft tissue to reduce the risk of postoperative dislocation. A variety of surgical approaches for BHA are available, but extra care is needed with muscle- and tendon-preserving approaches in geriatric patients. We investigated the usefulness of BHA using a conjoined tendon-preserving posterior (CPP) approach, in which only the external obturator muscle is dissected, in geri-atric patients. We retrospectively analyzed the cases of 40 femoral neck fracture patients (10 men, 30 women) aged ≥ 80 years who underwent BHA using the CPP approach. The patients’ average age was 85.8 years (80-94 years). We examined the operation time, bleeding, preservation of short external rotator muscles, complica-tions, and stem alignment and subsidence from postoperative radiographs. Although gemellus inferior muscle injury was detected in 4 patients (10%), the hip joint stability was very excellent in all cases. There was no intraoperative fracture or postoperative dislocation. On postoperative radiographs, all femoral stems were in a neutral position. There was no stem subsidence in all 40 patients. BHA using the CPP approach appeared to be useful even in geriatric patients.
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Keywords | bipolar hip arthroplasty
geriatric patient
conjoined tendon-preserving posterior approach
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Amo Type | Original Article
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Publication Title |
Acta Medica Okayama
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Published Date | 2021-02
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Volume | volume75
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Issue | issue1
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Publisher | Okayama University Medical School
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Start Page | 25
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End Page | 30
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2021 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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PubMed ID |