{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:03Z","timestamp":1740148623965,"version":"3.37.3"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,9,11]],"date-time":"2021-09-11T00:00:00Z","timestamp":1631318400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003O objetivo do presente estudo foi comparar os resultados funcionais ap\u00f3s a substitui\u00e7\u00e3o do Calcar cimentado em compara\u00e7\u00e3o com a hemiartroplastia cimentada de haste longa em pacientes com mais de 80 anos com fratura intertrocant\u00e9rica inst\u00e1vel.<\/jats:p><jats:p>\n          M\u00e9todos\u2003O presente estudo prospectivo e randomizado incluiu 140 pacientes com fratura de f\u00eamur intertrocant\u00e9rica, conforme classifica\u00e7\u00e3o AO\/OTA tipo 31-A2, A3, randomizados em 2 grupos de tratamento e acompanhados por um per\u00edodo m\u00ednimo de 2 anos. Sessenta e sete pacientes do grupo A foram tratados com uma pr\u00f3tese de substitui\u00e7\u00e3o do calcar cimentada e 65 pacientes do grupo B foram tratados com uma pr\u00f3tese femoral de haste longa cimentada. Os desfechos prim\u00e1rios foram as fun\u00e7\u00f5es do quadril em 2 anos. Os eventos secund\u00e1rios foram as complica\u00e7\u00f5es encontradas, a mortalidade, o tempo cir\u00fargico, segunda cirurgia, perda de sangue e as atividades do cotidiano.<\/jats:p><jats:p>\n          Resultados\u2003N\u00e3o houve grandes diferen\u00e7as entre os grupos em termos de fun\u00e7\u00e3o do quadril, qualidade de vida (relacionada \u00e0 sa\u00fade), segunda cirurgia, mortalidade e perda de sangue. No entanto, a fun\u00e7\u00e3o da articula\u00e7\u00e3o do quadril e as atividades da vida di\u00e1ria se deterioraram em ambos os grupos em compara\u00e7\u00e3o com os n\u00edveis pr\u00e9-fratura.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Nos octogen\u00e1rios com fratura intertrocant\u00e9rica inst\u00e1vel, a pr\u00f3tese de substitui\u00e7\u00e3o do calcar cimentada apresentou resultados cl\u00ednicos semelhantes em compara\u00e7\u00e3o com a hemiartroplastia de haste longa cimentada. A hemiartroplastia com qualquer um dos implantes \u00e9 uma boa op\u00e7\u00e3o nesse subgrupo de pacientes. N\u00edvel de evid\u00eancia: I<\/jats:p>","DOI":"10.1055\/s-0041-1732392","type":"journal-article","created":{"date-parts":[[2021,9,11]],"date-time":"2021-09-11T22:30:15Z","timestamp":1631399415000},"page":"511-520","source":"Crossref","is-referenced-by-count":0,"title":["Substitui\u00e7\u00e3o do calcar cimentado versus hemiartroplastia de haste longa cimentada em fraturas intertrocant\u00e9ricas inst\u00e1veis em octogen\u00e1rios"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8179-3027","authenticated-orcid":false,"given":"Kavin","family":"Khatri","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, All India Institute of Medical Sciences, Bathinda, Punjab, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8231-9781","authenticated-orcid":false,"given":"Ravinder Kumar","family":"Banga","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Government Medical College, Patiala, Punjab, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0162-0215","authenticated-orcid":false,"given":"Neeraj","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Government Medical College, Amritsar, Punjab, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6159-0735","authenticated-orcid":false,"given":"Deepak","family":"Bansal","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, AIMC Bassi Hospital, Ludhiana, Punjab, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,11]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0134.R1","article-title":"Implant options for the treatment of intertrochanteric fractures of the hip: rationale, evidence, and recommendations","volume":"99-B","author":"A R Socci","year":"2017","journal-title":"Bone Joint J"},{"issue":"12","key":"ref2","first-page":"e1101","article-title":"Factors influencing functional outcomes in united intertrochanteric hip fractures: a negative effect of lag screw sliding","volume":"37","author":"J H Yoo","year":"2014","journal-title":"Orthopedics"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"221","DOI":"10.4055\/cios.2010.2.4.221","article-title":"Cementless bipolar hemiarthroplasty for unstable intertrochanteric fractures in elderly patients","volume":"2","author":"W S Choy","year":"2010","journal-title":"Clin Orthop Surg"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"424","DOI":"10.3944\/AOTT.2014.13.0119","article-title":"Cementless bipolar hemiarthroplasty for unstable intertrochanteric fractures in octogenarians","volume":"48","author":"Y Kim","year":"2014","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.3928\/0147-7447-19901001-09","article-title":"Primary Bateman-Leinbach bipolar prosthetic replacement of the hip in the treatment of unstable intertrochanteric fractures in the elderly","volume":"13","author":"S F Harwin","year":"1990","journal-title":"Orthopedics"},{"issue":"218","key":"ref6","first-page":"75","article-title":"Comminuted intertrochanteric fractures treated with a Leinbach prosthesis","author":"M B Stern","year":"1987","journal-title":"Clin Orthop Relat Res"},{"issue":"08","key":"ref7","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.2106\/00004623-198971080-00015","article-title":"Treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients. Primary bipolar arthroplasty compared with internal fixation","volume":"71","author":"P Haentjens","year":"1989","journal-title":"J Bone Joint Surg Am"},{"issue":"224","key":"ref8","first-page":"169","article-title":"Bipolar prosthetic replacement for the management of unstable intertrochanteric hip fractures in the elderly","author":"S Green","year":"1987","journal-title":"Clin Orthop Relat Res"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"602","DOI":"10.4103\/0019-5413.168762","article-title":"Calcar femorale grafting in the hemiarthroplasty of the hip for unstable inter trochanteric fractures","volume":"49","author":"C J Thakkar","year":"2015","journal-title":"Indian J Orthop"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.otsr.2018.11.015","article-title":"Cementless distal fixation modular stem without reconstruction of femoral calcar for unstable intertrochanteric fracture in patients aged 75 years or more","volume":"105","author":"G C Zha","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"107","DOI":"10.3109\/17453674.2012.678798","article-title":"Low BMD affects initial stability and delays stem osseointegration in cementless total hip arthroplasty in women: a 2-year RSA study of 39 patients","volume":"83","author":"H T Aro","year":"2012","journal-title":"Acta Orthop"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1186\/s12891-019-3013-2","article-title":"The effects of cement fixation on survival in elderly patients with hip hemiarthroplasty: a nationwide cohort study","volume":"20","author":"M C Tsai","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1093\/bja\/aen328","article-title":"Bone cement implantation syndrome","volume":"102","author":"A J Donaldson","year":"2009","journal-title":"Br J Anaesth"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1177\/112070000401400307","article-title":"Hemiarthroplasty: To cement or not to cement? A preliminary report","volume":"14","author":"S B Shewale","year":"2004","journal-title":"Hip Int"},{"issue":"09","key":"ref15","doi-asserted-by":"crossref","first-page":"2426","DOI":"10.1007\/s11999-008-0672-y","article-title":"Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures","volume":"467","author":"W Figved","year":"2009","journal-title":"Clin Orthop Relat Res"},{"issue":"08","key":"ref16","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1016\/j.jclinepi.2010.02.005","article-title":"CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials","volume":"63","author":"K F Schulz","year":"2010","journal-title":"J Clin Epidemiol"},{"issue":"10","key":"ref17","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1111\/j.1532-5415.1975.tb00927.x","article-title":"A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients","volume":"23","author":"E Pfeiffer","year":"1975","journal-title":"J Am Geriatr Soc"},{"issue":"04","key":"ref18","doi-asserted-by":"crossref","first-page":"737","DOI":"10.2106\/00004623-196951040-00012","article-title":"Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation","volume":"51","author":"W H Harris","year":"1969","journal-title":"J Bone Joint Surg Am"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.jor.2017.12.001","article-title":"Is the modified Harris hip score valid and responsive instrument for outcome assessment in the Indian population with pertrochanteric fractures?","volume":"15","author":"K Vishwanathan","year":"2018","journal-title":"J Orthop"},{"key":"ref20","first-page":"61","article-title":"Functional Evaluation: The Barthel Index","volume":"14","author":"F I Mahoney","year":"1965","journal-title":"Md State Med J"},{"issue":"05","key":"ref21","doi-asserted-by":"crossref","first-page":"337","DOI":"10.3109\/07853890109002087","article-title":"EQ-5D: a measure of health status from the EuroQol Group","volume":"33","author":"R Rabin","year":"2001","journal-title":"Ann Med"},{"issue":"01","key":"ref22","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1186\/s12891-019-3013-2","article-title":"The effects of cement fixation on survival in elderly patients with hip hemiarthroplasty: a nationwide cohort study","volume":"20","author":"M C Tsai","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"457","DOI":"10.2106\/00004623-197052030-00005","article-title":"Changes in trabecular pattern of the upper end of the femur as an index of osteoporosis","volume":"52","author":"M Singh","year":"1970","journal-title":"J Bone Joint Surg Am"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1186\/1471-2474-12-105","article-title":"Mortality and cause of death in hip fracture patients aged 65 or older: a population-based study","volume":"12","author":"J Panula","year":"2011","journal-title":"BMC Musculoskelet Disord"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1016\/j.injury.2017.02.022","article-title":"Unstable trochanteric fractures: Issues and avoiding pitfalls","volume":"48","author":"S Babhulkar","year":"2017","journal-title":"Injury"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"924","DOI":"10.2106\/00004623-199406000-00020","article-title":"Fractures of the Proximal Part of the Femur","volume":"76","author":"R F Kyle","year":"1994","journal-title":"J Bone Joint Surg Am"},{"issue":"218","key":"ref27","first-page":"81","article-title":"Nonunion of intertrochanteric fractures of the femur following open reduction and internal fixation. Results of second attempts to gain union","author":"E M Mariani","year":"1987","journal-title":"Clin Orthop Relat Res"},{"issue":"12","key":"ref28","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1016\/j.injury.2019.10.023","article-title":"Mid-term survivals of cemented calcar-replacement bipolar hemiarthroplasty for unstable intertrochanteric fractures in elderly patients","volume":"50","author":"A Cobden","year":"2019","journal-title":"Injury"},{"issue":"02","key":"ref29","doi-asserted-by":"crossref","first-page":"81","DOI":"10.4103\/0300-1652.182081","article-title":"Comparison of treatment of unstable intertrochanteric fracture with different arthroplasty methods","volume":"57","author":"H G\u00f6\u00e7er","year":"2016","journal-title":"Niger Med J"},{"issue":"06","key":"ref30","first-page":"E137","article-title":"Coincidence of avascular necrosis of the femoral head and unstable intertrochanteric fracture: is an extensively coated cementless revision stem a reasonable choice?","volume":"71","author":"J S Wang","year":"2011","journal-title":"J Trauma"},{"issue":"04","key":"ref31","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.arth.2010.05.010","article-title":"Cementless bipolar hemiarthroplasty using a hydroxyapatite-coated long stem for osteoporotic unstable intertrochanteric fractures","volume":"26","author":"Y K Lee","year":"2011","journal-title":"J Arthroplasty"},{"issue":"04","key":"ref32","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s00590-012-1006-z","article-title":"Cemented bipolar hemiarthroplasty with a cerclage cable technique for unstable intertrochanteric hip fractures in elderly patients","volume":"23","author":"M Abdelkhalek","year":"2013","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/1746-1340-13-11","article-title":"Anatomic and functional leg-length inequality: a review and recommendation for clinical decision-making. Part I, anatomic leg-length inequality: prevalence, magnitude, effects and clinical significance","volume":"13","author":"G A Knutson","year":"2005","journal-title":"Chiropr Osteopat"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1732392.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T23:44:46Z","timestamp":1656632686000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1732392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,11]]},"references-count":33,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,6,30]]},"published-print":{"date-parts":[[2022,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1732392","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"type":"print","value":"0102-3616"},{"type":"electronic","value":"1982-4378"}],"subject":[],"published":{"date-parts":[[2021,9,11]]}}}