Tóm tắt

Objectives: To investigate hip osteoporosis among elderly patients with intertrochanteric and to evaluate the outcome of fracture treatment with bipolar joint replacement in the elderly. Subjects and methods: A retrospective and prospective study on 60 patients (15 men and 45 women), mean age 82.62 ± 5.75 (from 70 to 102 years old) were treated for hip fracture with hip replacement partially used cement at 103 Military Hospital from 09 - 2012 to 12 - 2015. Clinical description of age, gender, lesion characteristics, bone mineral density in the hip and immediate and predicted results. Results and conclusions: Age group 80 - 89 accouted for 48.33%, women/men ratio 3.0/1. Classified based on AO, group A2 made up 63.33%. Bone mineral density measured in accordance with DEXA was 60 patients: BMI index 18.5 - 22.9 accounted for 73.33%, Singh highest grade 55.0%, T-score average femur neck -3.62 ± 0.55, T-score = -3.9 for majority, T-score for femoral neck -3.03 ± 0.44; T-score average intertrochanteric fracture -3.02 ± 0.4; mean T-score of Ward area -3.91 ± 0.58; T-score mean head-to-hip ratio -3.20 ± 0.53. Bone mineral density of the neck - trochanteric - intertrochanteric - total head on the male thigh bone was significantly higher than that of females (p < 0.05); However, Ward's triangle bone between two groups of males and females was not different (p = 0.18487). Immediate evaluation: 100%, distance scale results according to Merle D’Aubigné - Postel: very good: 10.0%, good: 53.33%, quite: 23.33%, medium: 8.33%, bad: 5.0%. * Keywords: Intertrochanteric; Bipolar; Elderly; Hip replacemen; DEXA.

Abstract

Objectives: To investigate hip osteoporosis among elderly patients with intertrochanteric and to evaluate the outcome of fracture treatment with bipolar joint replacement in the elderly. Subjects and methods: A retrospective and prospective study on 60 patients (15 men and 45 women), mean age 82.62 ± 5.75 (from 70 to 102 years old) were treated for hip fracture with hip replacement partially used cement at 103 Military Hospital from 09 - 2012 to 12 - 2015. Clinical description of age, gender, lesion characteristics, bone mineral density in the hip and immediate and predicted results. Results and conclusions: Age group 80 - 89 accouted for 48.33%, women/men ratio 3.0/1. Classified based on AO, group A2 made up 63.33%. Bone mineral density measured in accordance with DEXA was 60 patients: BMI index 18.5 - 22.9 accounted for 73.33%, Singh highest grade 55.0%, T-score average femur neck -3.62 ± 0.55, T-score = -3.9 for majority, T-score for femoral neck -3.03 ± 0.44; T-score average intertrochanteric fracture -3.02 ± 0.4; mean T-score of Ward area -3.91 ± 0.58; T-score mean head-to-hip ratio -3.20 ± 0.53. Bone mineral density of the neck - trochanteric - intertrochanteric - total head on the male thigh bone was significantly higher than that of females (p < 0.05); However, Ward's triangle bone between two groups of males and females was not different (p = 0.18487). Immediate evaluation: 100%, distance scale results according to Merle D’Aubigné - Postel: very good: 10.0%, good: 53.33%, quite: 23.33%, medium: 8.33%, bad: 5.0%. * Keywords: Intertrochanteric; Bipolar; Elderly; Hip replacemen; DEXA.