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August 18, 2025Journal of Southeast Asian Orthopaedics

Comparison Between Cementless Bipolar Hemiarthroplasty and Proximal Femoral Nail Anti-Rotation for Unstable Intertrochanteric Femoral Fractures in the Elderly: A Retrospective Study

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Authors

AKAekkarith KhamkhadSJSurojn JeamanukulkitCTChatchai Teerasuit

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Overview

Retrospective study reveals outcomes and five-year mortality in elderly patients treated with two methods.

Key Points

  • Cementless bipolar hemiarthroplasty (CLBHA) showed longer operative time and hospitalization, yet long-term mortality rates were similar.
  • Operative time significantly differed, with CLBHA taking an average of 67.8 minutes versus PFNA at 57 minutes, indicating efficiency in PFNA.
  • A retrospective analysis of 122 patients aged 60–93 years compared outcomes of CLBHA and PFNA treatments for intertrochanteric fractures in the elderly.
  • Findings suggest while PFNA is the gold standard, CLBHA may serve as a viable alternative based on patient and surgeon considerations.

Cite This Study

Khamkhad et al. (2025) studied this question.

synapsesocial.com/papers/68af2edecf1dd9ea359e6570https://doi.org/10.56929/jseaortho-2025-0193
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