A comparison of two different surgical treatment methods for Ao-Ota type 31a2 hip fractures in patients aged over 75 years

Abstract

Introduction: The aim of the this studyis to compare PFNa application and uncemented bipolar partial prosthesis in AO/OTA 31 A2 type fractures in patients aged >75 years, in terms of functional scores and complication rates, and to then discuss the advantages and disadvantages of the two different methods. Material and Method:A retrospective examination was made of a total of 132 patients who were operated on because of unstable femoral proximal fracture in 2 different centres between January 2012 and June 2016. 27 patients who selected according to specified criteria in each group were compared in respect of functional scores at the final follow-up examination, complications, hospital length of stay, use of fluoroscopy, time to mobilization, and blood transfusion. Result: In respect of functional scores, the mean postoperative HHS in groups 1 and 2 were 82.3 and 79.8, respectively (p=0.425), and the pre-postoperative change in KAI in respective order was determined as -0.98 and -1.36 (p=0.114 the length of stay in hospital was found to be statistically significantly shorter in group 1 (p