title: Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in the elderly.
abstract: BACKGROUND
  Unstable intertrochanteric fractures remain a challenging problem in elderly individuals due to high failure rates associated with internal fixation. Hemiarthroplasty is one treatment option for intertrochanteric femur fractures in elderly patients. The aim of the present study was to compare the reliability of cementless and cemented hemiarthroplasty for unstable intertrochanteric femur fractures in elderly patients.
  
  
  METHODS
  Elderly patients with AO type 31-A2 intertrochanteric femur fractures were treated with cemented (n=40) or cementless (n=46) hemiarthroplasty. Duration of surgery, amount of blood loss and blood transfusion, Harris hip scores, rate of loosening of the femoral component, duration of hospital stay after surgery and mortality rates were recorded.
  
  
  RESULTS
  There were no significant differences between the groups in length of hospital stays, Harris hip scores, amount of blood transfusions, implant loosening and follow-up mortality rates. Walking ability was better in the cemented group in the early follow-up period. Duration of surgery, amount of blood loss and perioperative mortality rates were significantly lower in the cementless group than in the cemented group.
  
  
  CONCLUSIONS
  Cementless hemiarthroplasty is a reliable treatment choice for unstable intertrochanteric femur fractures in elderly patients with early mobilization, acceptable functional results, low implant loosening rates, shorter surgery time, lesser blood loss and lower perioperative mortality rate.
authors.affiliation: Department of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey. cankayadeniz78@gmail.com.
authors.forename: Deniz
authors.initials: D
authors.lastname: Cankaya
authors.affiliation: Department of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
authors.forename: Bülent
authors.initials: B
authors.lastname: Ozkurt
authors.affiliation: Department of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
authors.forename: Abdullah Yalçın
authors.initials: AY
authors.lastname: Tabak
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001843:Bone Cements; D005260:Female; D006299:Health Services for the Aged; D062785:Hemiarthroplasty / Q000379:methods*; D006620:Hip Fractures / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D016059:Range of Motion, Articular; D020127:Recovery of Function; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements