{"id":"https://openalex.org/W7225567657","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8532","title":"Functional Outcomes of Primary Cemented Bipolar Hemiarthroplasty for Comminuted Intertrochanteric Femur Fractures in Elderly Patients: A Prospective Study.","display_name":"Functional Outcomes of Primary Cemented Bipolar Hemiarthroplasty for Comminuted Intertrochanteric Femur Fractures in Elderly Patients: A Prospective Study.","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225567657","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8532","pmid":"https://pubmed.ncbi.nlm.nih.gov/42996993","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13740835"},"language":"en","primary_location":{"id":"pmid:42996993","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8532","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42996993","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13740835/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161284796","display_name":"A S Kiran Kumar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801873993","display_name":"Ballari Medical College and Research Centre","ror":"https://ror.org/0164vc797","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801873993"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"A S Kiran Kumar","raw_affiliation_strings":["Department of Orthopaedics, Ballari Medical College and Research Centre, Ballari, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Ballari Medical College and Research Centre, Ballari, Karnataka, India","institution_ids":["https://openalex.org/I2801873993"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161291376","display_name":"B Sai Vamshi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"B Sai Vamshi","raw_affiliation_strings":["Department of Orthopaedics, Raichur Institute of Medical Sciences, Raichur, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Raichur Institute of Medical Sciences, Raichur, Karnataka, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5093216694","display_name":"Bhushan Chickle","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bhushan Chickle","raw_affiliation_strings":["Department of Orthopaedics, Raichur Institute of Medical Sciences, Raichur, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Raichur Institute of Medical Sciences, Raichur, Karnataka, India","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8833025,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"11","first_page":"483","last_page":"489"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.0035000001080334187,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9570000171661377},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.7773000001907349},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7106999754905701},{"id":"https://openalex.org/C2776211809","wikidata":"https://www.wikidata.org/wiki/Q17021143","display_name":"Harris Hip Score","level":3,"score":0.5400000214576721},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.5296000242233276},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.519599974155426},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4803999960422516},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.46560001373291016},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.4146000146865845},{"id":"https://openalex.org/C3019737254","wikidata":"https://www.wikidata.org/wiki/Q240856","display_name":"Intertrochanteric fracture","level":3,"score":0.36730000376701355},{"id":"https://openalex.org/C2778951355","wikidata":"https://www.wikidata.org/wiki/Q2353265","display_name":"Diaphysis","level":3,"score":0.30239999294281006},{"id":"https://openalex.org/C2780247198","wikidata":"https://www.wikidata.org/wiki/Q633403","display_name":"Weakness","level":2,"score":0.29280000925064087},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.2831000089645386},{"id":"https://openalex.org/C2776767379","wikidata":"https://www.wikidata.org/wiki/Q5318981","display_name":"Dynamic hip screw","level":3,"score":0.2799000144004822},{"id":"https://openalex.org/C2778885795","wikidata":"https://www.wikidata.org/wiki/Q240856","display_name":"Hip fracture","level":3,"score":0.2793000042438507},{"id":"https://openalex.org/C2780012534","wikidata":"https://www.wikidata.org/wiki/Q4350503","display_name":"Femoral fracture","level":3,"score":0.27889999747276306},{"id":"https://openalex.org/C2776541429","wikidata":"https://www.wikidata.org/wiki/Q165328","display_name":"Osteoporosis","level":2,"score":0.2727999985218048},{"id":"https://openalex.org/C2776348710","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Hip replacement","level":3,"score":0.2639999985694885}],"mesh":[],"locations_count":2,"locations":[{"id":"pmid:42996993","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8532","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42996993","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13740835","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8532","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13740835/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13740835","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8532","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13740835/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":1,"referenced_works":["https://openalex.org/W4296502620"],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"Intertrochanteric":[1],"fractures":[2,9,134],"are":[3,17],"among":[4],"the":[5,11,39,44,70,97,149,303,316],"most":[6,208],"common":[7],"fragility":[8],"in":[10,80,96,204,288,320],"elderly,":[12],"and":[13,29,72,88,127,159,186,221,244,257,269,282,307],"comminuted,":[14],"unstable":[15,84],"patterns":[16],"difficult":[18],"to":[19,115,161,224],"manage":[20],"with":[21,83,112,125,263,293,297],"fixation":[22],"alone":[23],"because":[24],"of":[25,31,46,75,99,101,197,206,236,309,318],"poor":[26,246],"bone":[27],"stock":[28],"loss":[30,190,256],"posteromedial":[32],"support.":[33],"While":[34],"intramedullary":[35],"devices,":[36],"such":[37],"as":[38,53],"proximal":[40],"femoral":[41],"nail":[42],"remain":[43],"standard":[45],"care,":[47],"primary":[48,76,136],"hemiarthroplasty":[49,79,139,278,319],"has":[50],"been":[51],"proposed":[52],"an":[54,298],"alternative":[55],"when":[56],"early":[57,280],"weight-bearing":[58,226,281],"is":[59],"a":[60,102,141,310],"priority,":[61],"though":[62],"supporting":[63],"evidence":[64],"remains":[65],"limited.":[66],"This":[67,90],"study":[68,93],"evaluated":[69],"clinical":[71],"functional":[73,286],"outcomes":[74,287],"cemented":[77,137,276],"bipolar":[78,138,277],"elderly":[81,291],"patients":[82,119,198,237],"intertrochanteric":[85,133,295],"fractures.":[86],"Materials":[87],"Methods:":[89],"prospective":[91],"observational":[92],"was":[94,146,168,181,191,216,227],"conducted":[95],"Department":[98],"Orthopaedics":[100],"tertiary-care":[103],"teaching":[104],"hospital":[105],"over":[106,327],"18":[107],"months":[108],"(May":[109],"2023-February":[110],"2025),":[111],"post-operative":[113,264],"follow-up":[114],"6":[116],"months.":[117],"Thirty":[118],"aged":[120],"60":[121],"years":[122,170,173],"or":[123,131],"older":[124],"Boyd":[126],"Griffin":[128],"type":[129],"II":[130],"III":[132],"underwent":[135],"through":[140],"posterolateral":[142],"approach.":[143],"Functional":[144],"outcome":[145],"assessed":[147],"using":[148],"Harris":[150,247],"Hip":[151,248],"Score,":[152],"alongside":[153],"operative":[154,179],"parameters,":[155],"complications,":[156],"limb":[157,214],"shortening,":[158],"time":[160,180,223],"full":[162,225],"weight-bearing.":[163],"Result:":[164],"The":[165],"mean":[166,187,222],"age":[167],"69.88":[169],"\u00b1":[171,183,193,218,229],"6.38":[172],"(15":[174],"males,":[175],"15":[176],"females).":[177],"Mean":[178,213],"84.07":[182],"10.26":[184],"min,":[185],"estimated":[188],"blood":[189,255],"287.67":[192],"110.63":[194],"mL;":[195],"46.7%":[196],"required":[199],"transfusion.":[200],"Post-operative":[201],"complications":[202,265],"occurred":[203],"20%":[205],"patients,":[207],"commonly":[209],"abductor":[210],"weakness":[211],"(16.7%).":[212],"shortening":[215],"0.98":[217],"0.58":[219],"cm,":[220],"6.21":[228],"1.47":[230],"days.":[231],"At":[232],"final":[233],"assessment,":[234],"13.3%":[235,250],"had":[238],"excellent,":[239],"30%":[240],"good,":[241],"36.7%":[242],"fair,":[243],"6.7%":[245],"Scores;":[249],"died":[251],"during":[252],"follow-up.":[253],"Greater":[254],"transfusion":[258],"requirement":[259],"were":[260],"significantly":[261],"associated":[262],"(P":[266],"=":[267,271],"0.028":[268],"P":[270],"0.046,":[272],"respectively).":[273],"Conclusion:":[274],"Primary":[275],"allowed":[279],"produced":[283],"predominantly":[284],"fair-to-good":[285],"these":[289,313],"selected":[290],"cohort":[292],"comminuted":[294],"fractures,":[296],"acceptable":[299],"complication":[300],"profile.":[301],"Given":[302],"small":[304],"sample":[305],"size":[306],"absence":[308],"comparison":[311],"group,":[312],"findings":[314],"support":[315],"feasibility":[317],"this":[321],"setting":[322],"rather":[323],"than":[324],"its":[325],"superiority":[326],"internal":[328],"fixation.":[329]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-09T00:00:00"}