الفهرس 
Applied Anatomy of the Hip JointOnly 14 pages are availabe for public view
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Abstract
Background: fractures of trochanteric region of femur are common in elderly. Internal fixation of these fractures is a standard practice. But, Nowadays we encounter failures require reoperation. In fresh comminuted fracture through porotic bone in elderly with medical comorbidities or symptomatic ipsilateral degenerative hip disease, replacement preferred to allow early full weight bearing mobilization. arthroplasty using long-stem is a surgical method that helps patients relieve pain, facilitate early rehabilitation, limit long-term complications, and improve quality of life for patients. Hip fracture treatment in elderly patients remains challenging.
Aim: The aim of our study is to detect functional outcomes and complications after usage of cementless hip arthroplasty with long femoral stem for management of intertrochanteric femur fractures.
Materials and Methods: We followed 20 patients were treated with long-stem cementless arthroplasty due to intertrochanteric femur fractures. The mean age was 72.9±5.79 years and the mean follow-up period was 12.8 months. The patients underwent either bipolar or total hip arthroplasty. Outcomes were evaluated with the Harris hip score (HHS).
Results: At the last follow-up, the mean Harris hip score was 81.2points. There were no cases of osteolysis. All stems were stable without significant changes in alignment or progressive subsidence. Superficial Infection was observed in one patient and was treated medically. Implant loosening and periprosthetic fractures were not noted.
CONCLUSION: Primary cementless long stem arthroplasty is one of good choices in treatment unstable ITF in elderly patients, helped patients improve the quality of life.