KELUARAN KLINIS FRAKTUR INTERTROKHANTER FEMUR PADA LANSIA YANG DILAKUKAN FIKSASI INTERNAL DAN HEMIARTHROPLASTI
| Main Authors: | , M. Wibowo Ariyanto, , dr. Rahadyan Magetsari, PhD, SpOT, FICS |
|---|---|
| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2012
|
| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/98409/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=54694 |
Daftar Isi:
- Introduction Management of fracture of elderly intertrochanter femur is still challenge. Poor bone quality, difficult anatomical reduction due to severe comminutive fracture, inadequate stability of internal fixation and comorbidity cause unsatisfactory clinicoradiological outcome after internal fixation. Recently, hemiarthroplasty is used for alternative treatment to reach the best clinical and functional outcome. Methods Fivety patient of fracture of unstable intertrochanter femur in elderly who have performed internal fixation or hemiarthroplasty is studied to evaluate postoperative clinical outcome. Functional status of hip joint is evaluated using Haris Hip Score and to evaluate quality of live using Health Related Quality of Live Short Form 36. Result and Discussion Fracture of unstable intertrochanter femur in elderly who has performed internal fixation was 28 (56 %) of cases, consist of 7 males and 21 females with mean of age 71.1 (60 - 85) years old, meanwhile patient who has performed hemiarthroplasty was 22 (44 %) of cases, consist of 10 males and 12 females with mean of age 76.4 (65 - 87) years old. The patients had mean of HHS 76.1 after internal fixation treatment and mean of HHS after hemiarthroplasty treatment was 80.5. The outcome of functional status of hip joint after hemiarthroplasty is better significantly (p=0.015) and the quality of live between both treatment have no difference. Fracture of intertrochanter femur in elderly which has performed hemiarthroplasty gave satisfactory clinical outcome.