Open AccessCalcar femorale grafting in the hemiarthroplasty of the hip for unstable inter trochanteric fractures
Author(s) -
Chandrashekar J Thakkar,
Savyasachi C. Thakkar,
Rajshekhar T Kathalgere,
Malhar N. Kumar
Publication year - 2015
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.168762
Subject(s) - calcar , medicine , femur , medullary cavity , bone grafting , implant , surgery , dentistry , anatomy
The sliding screw-plate devices and cephalo-medullary nail devices have performed well in stable inter-trochanteric fractures in patients with reasonably good quality of bone. However, their suboptimal performance in comminuted fractures in the presence of osteoporotic bone has prompted many surgeons to consider bipolar hemiarthroplasty as the primary modality of management of comminuted inter-trochanteric fractures in elderly patients. However, long term stability of the hemiarthroplasty implant also may be compromised due to the presence of postero-medial bone loss at the area of the calcar.