Calcar Replacement Hemiarthroplasty versus Proximal Femoral Nail for Treatment of Unstable Intertrochanteric Fractures in Elderly | ||
| International Journal of Medical Arts | ||
| Article 4, Volume 7, Issue 10, October 2025, Pages 6160-6168 PDF (1.58 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2025.373827.2163 | ||
| Authors | ||
| Mohamed Sayed Hamdy* ; Adnan Abd El Aleem El-Sebaay; Mohammed Gamal Abd-ElKader | ||
| Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Intertrochanteric fractures occur with low-energy trauma because of decreased bone quality and deterioration of histological structure based on osteoporosis. The aim of this work was to compare proximal femoral nail and calcar-replacement hemiarthroplasty in treatment of unstable intertrochanteric fractures of elderly regarding the surgical techniques, clinical and radiological outcomes, complications [intra- and post- operative], functional hip outcome and patient satisfaction. Patients and Methods: This Prospective Randomized Study was conducted on Thirty patients with unstable intertrochanteric hip fracture. Patients were divided into two equal groups: Group I was treated with bipolar calcar hemiarthroplasty, and Group II were treated with a proximal femoral nail. Results: At 3 months, Harris’ hip score was significantly higher in hemiarthroplasty group [p < 0.001*]. However, at 6 months and 12 months, the differences in scores were not statistically significant [p > 0.05]. At 24-month Harris hip score was significantly higher in PFN group then hemiarthroplasty group [p=0.04]. The mean duration of surgery was significantly shorter in the PFN group compared to the Hemiarthroplasty group [p = 0.041]. The mean blood loss during surgery was significantly lower in the PFN group compared to the Hemiarthroplasty group [p<0.001]. Conclusion: PFN and calcar-replacement hemiarthroplasty are two safe and effective fixation methods for treating the elderly with intertrochanteric fractures. Both PFN and calcar-replacement hemiarthroplasty achieve stable fracture fixation, reduce pain, less post-operative complications and restore function of the hip joint. | ||
| Keywords | ||
| CalCalcar Replacement; Elderly; Hemiarthroplasty; Intertrochanteric Fractures | ||
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