Şefik Murat ARIKAN, Emre ÖZANLAĞAN, Mehmet Akif ŞİMŞEK, Galip BELTİR, Burak ATALAY, Özgür IRAK, Recep ÖZTÜRK

Proksimal Femur Kırıklarının Tedavisinde, Çimentosuz ve Çimentolu Hemiartroplastinin Mortalite Üzerine Etkilerinin Karşılaştırılması

Amaç: Bu çalışmada, yaşlı hastalarda görülen proksimal femur kırıklarının tedavisinde, çimentosuz ve çimentolu kalkar replasmanlı hemiartroplastinin,mortalite üzerine etkisinin karşılaştırılması amaçlandı.Gereç ve Yöntem: 2012-2015 yılları arası, proksimal femur kırığına sahip 167 hasta çalışmaya dahil edildi. Hastaların 64’üne (38,3%) çimentoluhemiartroplasti (grup 1), 103’üne (61,7%) çimentosuz artroplasti (grup 2) uygulandı. Hastalar postoperatif 3. haftada ve sonrasında 3., 6. ve 12.aylarda ve sonrasında yıllık kontrollerde değerlendirildi.Bulgular: Tüm takipleri boyunca grup 1 de 26, grup 2 de 31 hasta eks oldu. En sık görülen lokal komplikasyon, yüzeyel enfeksiyondu.Sonuç: Yaşlı hastalarda görülen proksimal femur kırıklarının tedavisinde, çimentosuz ve çimentolu kalkar replasmanlı hemiartroplasti cerrahisisonrası takiplerinde iki grup arasında anlamlı derecede mortalite farkı bulunmamaktadır.

Comparison of Cemented and Cementless Hemiarthroplasty in the Treatent of Proximal Femoral Fractures

Objectives: In this study, we aimed to compare effects of cementless and cemented calcar-replacement hemiarthroplasty used in the treatment of proximal femoral fractures in elderly patients, on mortality. Materials and Methods: A total of 167 patients with proximal femoral fractures between 2012 and 2015 were included in the study. Cemented hemiarthroplasty was performed in 64 (38.3%) (group1) and cementless hemiarthroplasty in 103 (61.7%) (group 2) patients. The patients were evaluated at postoperative week 3, then at 3rd, 5th and 12th months, and subsequently at yearly follow-ups. Results: During follow-ups, 26 patients in group 1, and 31 patients in group 2 died. The most common local complication was superficial infection. Conclusion: There was no significant difference in mortality during postoperative follow-up between the patients treated with cementless hemiarthroplasty and those treated with cemented hemiarthroplasty for proximal femoral fractures seen in elderly patients.

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