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MENUVolume : 7, Issue : 12, December - 2018
MANAGEMENT OF UNSTABLE INTERTROCHANTERIC FRACTURE IN OLDER AGE PAITENT WITH FIXATION VERSUS HEMI OR TOTAL PRIMARY REPLACEMENT
Dr Parth N. Patel, Dr. Piyush Mittal, Dr. Sandip Rathod, Dr Parth Banker
Abstract :
<p> <b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Background</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.35pt"> </span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">and</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt"> </span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Objectives:</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.65pt"> </span></b><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">For</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">many</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.45pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">decades,</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">attempts</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.45pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">have</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.2pt">been</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.35pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">made</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">to<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">overcome </span>the<span style="letter-spacing: .15pt"> </span><span style="letter-spacing:-.1pt">difficulties</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.15pt">which</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">surgeons</span><span style="letter-spacing:4.65pt;mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">encounter</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">in</span><span style="letter-spacing: .15pt"> </span>the<span style="letter-spacing:-.05pt"> </span><span style="letter-spacing:-.1pt">treatment</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing: .25pt"> </span><span style="letter-spacing:-.1pt">proximal</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">femoral</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">fractures.</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">Extra</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">medullary</span><span style="letter-spacing:.2pt"> </span>and<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">intramedullary</span><span style="letter-spacing: .15pt"> </span><span style="letter-spacing:-.1pt">implants</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">have</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">improved</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">in</span><span style="letter-spacing:5.75pt;mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">recent</span><span style="letter-spacing:.5pt"> </span><span style="letter-spacing:-.1pt">years,</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">although</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">consensus</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">is</span><span style="letter-spacing: .25pt"> </span><span style="letter-spacing:-.1pt">lacking</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">concerning</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">the</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">definition</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">and</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">classification</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.05pt">unstable </span><span style="letter-spacing:-.1pt">intertrochanteric</span><span style="letter-spacing:5.45pt;mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">fractures,</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">with</span><span style="letter-spacing: .15pt"> </span><span style="letter-spacing:-.1pt">uncertainties</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">regarding</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">treatment.</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">In</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">this</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">era</span><span style="letter-spacing:.15pt"> </span>of <span style="letter-spacing:-.05pt">technologically</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">sound</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">and</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">tested</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">fixation</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">methods</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.2pt">we</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">shall</span><span style="letter-spacing:4.95pt;mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">compare </span><span style="letter-spacing:-.1pt">functional</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">outcomes</span><span style="letter-spacing:.5pt"> </span><span style="letter-spacing:-.1pt">and</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">complications</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">various</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">methods</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">available</span><span style="letter-spacing:-.05pt"> </span>for<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">unstable</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">it</span><span style="letter-spacing: .3pt"> </span><span style="letter-spacing:-.05pt">fracture </span><span style="letter-spacing:-.1pt">fixation.</span></span></i></p> <p class="MsoNormal" style="margin-top:0in;margin-right:9.15pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt;line-height:100%"><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">The</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.05pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">purpose</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">of</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">this</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">study</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">is</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">to<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">analyze</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">the</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">role</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">primary</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">hemi</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">arthroplasty</span><span style="letter-spacing: .1pt"> </span><span style="letter-spacing:-.1pt">in</span><span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.05pt">cases</span><span style="letter-spacing:.1pt"> </span>of<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">unstable</span><span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.1pt">osteoporotic</span><span style="letter-spacing:4.35pt;mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">intertrochanteric</span><span style="letter-spacing: .15pt"> </span><span style="letter-spacing:-.1pt">femur</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">fractures</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">and</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">compare</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">the</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">outcomes</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">with</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">conventional</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">fixation</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">techniques</span><span style="letter-spacing:.75pt"> </span>to<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">find</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">out</span><span style="letter-spacing:.3pt"> </span>a<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">better</span><span style="letter-spacing:5.45pt;mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">management</span><span style="letter-spacing:.5pt"> </span><span style="letter-spacing:-.05pt">plan</span><span style="letter-spacing: -.15pt"> </span>for<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">the</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">patient</span></span></i><span style="font-size: 9.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:9.15pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt;line-height:99%"><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Materials</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">and</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Methods:</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.6pt"> </span></b><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">This</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:99%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">is<span style="letter-spacing:.15pt"> </span>a<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">prospective</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">study</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.05pt">fifty</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">cases</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">unstable</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">intertrochanteric</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">fractures,</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">either</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">treated</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">with</span><span style="letter-spacing:5.25pt;mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">primary</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">replacement</span><span style="letter-spacing: .45pt"> </span><span style="letter-spacing:-.15pt">(hemi</span><span style="letter-spacing:.25pt"> </span>or<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">total)</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.15pt">or</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.05pt">fixation.</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.2pt">Between</span><span style="letter-spacing: .35pt"> </span><span style="letter-spacing:-.05pt">january </span>2016 to january<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.05pt">2018,</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">fifty</span><span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.1pt">patients</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">with</span><span style="letter-spacing: .1pt"> </span><span style="letter-spacing:-.15pt">an</span><span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.1pt">unstable</span><span style="letter-spacing:3.55pt;mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">comminuted</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">intertrochanteric</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">femoral</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">fracture</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">(AO/OTA</span><span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.05pt">type</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">31A2.2,</span><span style="letter-spacing:.5pt"> </span><span style="letter-spacing:-.1pt">A2.3,</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.05pt">A3.2,</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.05pt">A3.3)</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.15pt">were</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">enrolled</span><span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.1pt">in</span><span style="letter-spacing:.15pt"> </span>the<span style="letter-spacing:-.05pt"> </span><span style="letter-spacing:-.1pt">study,</span><span style="letter-spacing:.5pt"> </span><span style="letter-spacing:-.15pt">which</span><span style="letter-spacing:4.55pt; mso-font-width:101%"> </span><span style="letter-spacing:-.15pt">was</span><span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.1pt">approved</span><span style="letter-spacing:.2pt"> </span>by<span style="letter-spacing:.15pt"> </span>our<span style="letter-spacing:-.05pt"> </span><span style="letter-spacing:-.1pt">institutional</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">review</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">board.</span></span></i><span style="font-size:9.0pt;line-height:99%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:5.0pt;line-height:10.3pt;mso-line-height-rule: exactly"><b><span style="font-size:9.0pt; mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Inclusion</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.75pt"> </span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Criteria</span></b><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">:</span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:14.1pt;text-indent:-9.1pt;line-height: 10.35pt;mso-line-height-rule:exactly;mso-list:l1 level1 lfo2;tab-stops:14.15pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family: "Times New Roman","serif";mso-fareast-font-family:"Times New Roman";mso-font-width: 101%">1.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">More</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">than<span style="letter-spacing:.05pt"> </span>60<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">years</span><span style="letter-spacing:.1pt"> </span>of<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">age.</span></span></i><span style="font-size:9.0pt; font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.7pt;margin-right:0in;margin-bottom:0in; margin-left:14.1pt;margin-bottom:.0001pt;text-indent:-9.1pt;mso-list:l1 level1 lfo2; tab-stops:14.15pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">2.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">All</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">patients</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.4pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">with</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">unstable</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">IT</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.05pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">femur</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">fracture</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">type</span></i><span style="font-size:9.0pt; font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.7pt;margin-right:0in;margin-bottom:0in; margin-left:14.1pt;margin-bottom:.0001pt;text-indent:-9.1pt;mso-list:l1 level2 lfo2; tab-stops:14.15pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">a.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">31-</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.5pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">A2.2</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">and</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">31-<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">A2.3</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">(AO/OTA</span><span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.1pt">classification)</span></span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.45pt;margin-right:0in;margin-bottom:0in; margin-left:14.1pt;margin-bottom:.0001pt;text-indent:-9.1pt;mso-list:l1 level2 lfo2; tab-stops:14.15pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">b.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Posteromedial</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:1.0pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">fragmentation</span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.7pt;margin-right:0in;margin-bottom:0in; margin-left:13.6pt;margin-bottom:.0001pt;text-indent:-8.6pt;mso-list:l1 level2 lfo2; tab-stops:13.65pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">c.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Basicervical</span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.45pt;margin-right:0in;margin-bottom:0in; margin-left:14.1pt;margin-bottom:.0001pt;text-indent:-9.1pt;mso-list:l1 level2 lfo2; tab-stops:14.15pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">d.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Reverse</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.45pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">oblique</span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.7pt;margin-right:0in;margin-bottom:0in; margin-left:13.6pt;margin-bottom:.0001pt;text-indent:-8.6pt;mso-list:l1 level2 lfo2; tab-stops:13.65pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">e.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Displaced</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.45pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">greater</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.3pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">trochanter</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">(lateral</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.4pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">wall</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.05pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">fractures)</span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.7pt;margin-right:0in;margin-bottom:0in; margin-left:12.2pt;margin-bottom:.0001pt;text-indent:-.1in;mso-list:l1 level2 lfo2; tab-stops:12.25pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">f.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Patient</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.5pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">must</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.3pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">be<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">ambulatory</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">before</span><span style="letter-spacing: .2pt"> </span><span style="letter-spacing:-.1pt">sustaining</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">injury</span></span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.2pt"><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""> </span></i></p> <p class="MsoNormal" style="margin-left:5.0pt;line-height:10.2pt;mso-line-height-rule: exactly"><b><span style="font-size:9.0pt; mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Exclusion</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.8pt"> </span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Criteria:</span></b><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:14.1pt;text-indent:-9.1pt;line-height: 10.2pt;mso-line-height-rule:exactly;mso-list:l0 level1 lfo1;tab-stops:14.15pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family: "Times New Roman","serif";mso-fareast-font-family:"Times New Roman";mso-font-width: 101%">a.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Chronically</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">debilitated</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">and<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">bed</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">ridden</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">patients.</span></span></i><span style="font-size: 9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.7pt;margin-right:0in;margin-bottom:0in; margin-left:14.1pt;margin-bottom:.0001pt;text-indent:-9.1pt;mso-list:l0 level1 lfo1; tab-stops:14.15pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">b.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Compound</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.55pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">fracture</span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.7pt;margin-right:0in;margin-bottom:0in; margin-left:13.6pt;margin-bottom:.0001pt;text-indent:-8.6pt;mso-list:l0 level1 lfo1; tab-stops:13.65pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">c.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Medically</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">compromised</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.4pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">patients-</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.5pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">ASA</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">grade</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">iv</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.45pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.2pt">&v</span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.7pt;margin-right:0in;margin-bottom:0in; margin-left:14.1pt;margin-bottom:.0001pt;text-indent:-9.1pt;mso-list:l0 level1 lfo1; tab-stops:14.15pt"><!--[if !supportLists]--><i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-font-width:101%">d.<span style="font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman";"> </span></span></i><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Local</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">infection</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">¾<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">Stable</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">fracture</span></span></i><span style="font-size: 9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.55pt"><i><span style="font-size:8.5pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""> </span></i></p> <p class="MsoNormal" style="margin-top:0in;margin-right:9.15pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt"><b><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family: "Times New Roman","serif";mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:"Times New Roman";mso-bidi-theme-font:minor-bidi; letter-spacing:-.1pt">Results:</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></b><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Maximum</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">patients</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">(88%)</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">belonged</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">to<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">60-80</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">years</span><span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">age.</span><span style="letter-spacing:-.05pt"> </span>Since<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.15pt">most</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">the</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">patient</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">belong</span><span style="letter-spacing:.1pt"> </span>to<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">elderly</span><span style="letter-spacing:.1pt"> </span>age<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">group,</span><span style="letter-spacing:4.75pt;mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">medical</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.1pt">comorbidities</span><span style="letter-spacing:.3pt"> </span>are<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">very</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">common.</span></span></i><span style="font-size: 9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.2pt;margin-right:9.15pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt"><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family: "Times New Roman","serif";mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:"Times New Roman";mso-bidi-theme-font:minor-bidi; letter-spacing:-.05pt">Average</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">requirement</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.5pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">of</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">blood</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">transfusion</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">needed</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.4pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">was</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.4pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">significantly</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt"> higher</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">in</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.35pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">hemi</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">replacement</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">group</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">than</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">in<span style="letter-spacing:.65pt"> </span><span style="letter-spacing:-.1pt">fixation</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">group.</span><span style="letter-spacing: 4.45pt;mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">(Z=</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">3.56,</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">p<0.05).</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">This</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">indicated</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.05pt">the</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">surgical</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">complexity</span><span style="letter-spacing:.15pt"> </span>of<span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">hemi</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">replacement</span></span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:23.25pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt"><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family: "Times New Roman","serif";mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:"Times New Roman";mso-bidi-theme-font:minor-bidi; letter-spacing:-.1pt">There</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">was</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.45pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">significant</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">shortening</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">of</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">limb</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">in<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">fixation</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">group</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.15pt">as</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">compared</span><span style="letter-spacing:.35pt"> </span>to<span style="letter-spacing:.15pt"> </span><span style="letter-spacing: -.1pt">hemi</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">replacement.</span><span style="letter-spacing: .25pt"> </span><span style="letter-spacing:-.1pt">(Z=6.98,p</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">value</span><span style="letter-spacing:-.1pt"> <0.05)</span><span style="letter-spacing:5.75pt; mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">Thus</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">hemi</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">replacement</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">provided</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">faster</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">rehabilitation</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">to</span><span style="letter-spacing:.1pt"> </span>the<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">patient.</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">This</span><span style="letter-spacing: .1pt"> </span><span style="letter-spacing:-.1pt">implies</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">that</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.05pt">those</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">patients</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.15pt">who</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.1pt">had</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.1pt">hemi</span><span style="letter-spacing:3.55pt;mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">replacement</span><span style="letter-spacing: .25pt"> </span>had<span style="letter-spacing:.15pt"> </span>a<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">significantly</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">better</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">activity</span><span style="letter-spacing:.15pt"> </span>of<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">daily</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">living.</span></span></i><span style="font-size: 9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:14.45pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt;line-height:100%"><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">Harris</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">hip</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">scores</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.45pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">were</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">significantly</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.45pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">better</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:100%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">in<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">hemi</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">replacement</span><span style="letter-spacing: .5pt"> </span><span style="letter-spacing:-.1pt">group.</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">(Z=4.31,</span><span style="letter-spacing:.25pt"> </span>p<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">value<0.05)</span><span style="letter-spacing: .2pt"> </span><span style="letter-spacing:-.1pt">suggesting</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">better</span><span style="letter-spacing:.25pt"> </span>functional<span style="letter-spacing: 3.65pt;mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">outcomes.</span><span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.1pt">There</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.15pt">was</span><span style="letter-spacing:.5pt"> </span><span style="letter-spacing:-.15pt">no</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">significant</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.1pt">difference</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.15pt">between</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.05pt">immediate</span> <span style="letter-spacing:-.1pt">postoperative</span><span style="letter-spacing: -.05pt"> </span><span style="letter-spacing:-.1pt">complications</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.05pt">though</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">skin</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">incision,</span><span style="letter-spacing:6.55pt;mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">operating</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">time,</span><span style="letter-spacing: .25pt"> </span>and<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">blood</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">loss</span><span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.15pt">were</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">significantly</span><span style="letter-spacing: .15pt"> </span><span style="letter-spacing:-.1pt">higher</span><span style="letter-spacing:.15pt"> </span>in<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">hemi</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">replacement</span><span style="letter-spacing: .25pt"> </span><span style="letter-spacing:-.1pt">group.(Z=0.7,</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.05pt">p>0.05) </span><span style="letter-spacing:-.1pt">but</span><span style="letter-spacing: .2pt"> </span>the<span style="letter-spacing:-.05pt"> </span>rate<span style="letter-spacing:-.1pt"> </span>of<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">delayed</span><span style="letter-spacing:4.15pt; mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">complications</span><span style="letter-spacing:.25pt"> </span>and<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">revision</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">surgeries</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.15pt">were</span><span style="letter-spacing: .2pt"> </span><span style="letter-spacing:-.05pt">significantly</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">higher</span><span style="letter-spacing:.25pt"> </span>in<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">fixation</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">group.</span><span style="letter-spacing: .3pt"> </span><span style="letter-spacing:-.05pt">(p<0.05)</span></span></i><span style="font-size:9.0pt;line-height:100%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:9.15pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt"><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family: "Times New Roman","serif";mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:"Times New Roman";mso-bidi-theme-font:minor-bidi; letter-spacing:-.1pt">There</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt">was</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.35pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">no<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">significant</span><span style="letter-spacing: .2pt"> </span><span style="letter-spacing:-.1pt">difference</span><span style="letter-spacing:.1pt"> </span>in<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">mortality</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">rates</span><span style="letter-spacing: .1pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">both</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">groups</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.1pt">despite</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">more</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">blood</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">loss</span><span style="letter-spacing:.1pt"> </span>and<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">duration</span><span style="letter-spacing:.1pt"> </span>of<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">surgeries</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.1pt">in</span><span style="letter-spacing:4.15pt;mso-font-width:101%"> </span><span style="letter-spacing:-.1pt">hemi</span><span style="letter-spacing:.6pt"> </span><span style="letter-spacing:-.1pt">replacement</span><span style="letter-spacing: .65pt"> </span><span style="letter-spacing:-.1pt">group.</span></span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:11.45pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt"><b><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family: "Times New Roman","serif";mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:"Times New Roman";mso-bidi-theme-font:minor-bidi; letter-spacing:-.1pt">Interpretation</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family: "Times New Roman","serif";mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:"Times New Roman";mso-bidi-theme-font:minor-bidi; letter-spacing:.35pt"> </span></b><b><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">and</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Conclusion:</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.35pt"> </span></b><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">In<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">conclusion</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.2pt">we</span><span style="letter-spacing: .15pt"> </span><span style="letter-spacing:-.05pt">state that</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">hemi</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">replacement</span><span style="letter-spacing:.5pt"> </span><span style="letter-spacing:-.1pt">arthroplasty,</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">is</span><span style="letter-spacing:.2pt"> </span>a<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">valid</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">treatment</span><span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">option</span><span style="letter-spacing: .15pt"> </span><span style="letter-spacing:-.1pt">for</span><span style="letter-spacing:4.05pt;mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">mobile</span><span style="letter-spacing:.1pt"> </span>and<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">mentally</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">healthy</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">patients,</span><span style="letter-spacing:.25pt"> </span>as<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">compared</span><span style="letter-spacing:.15pt"> </span>to<span style="letter-spacing:.1pt"> </span><span style="letter-spacing: -.1pt">fixation</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">for</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">faster</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">rehabilitation</span><span style="letter-spacing: .15pt"> </span><span style="letter-spacing:-.1pt">and</span><span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.1pt">better</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">activity</span><span style="letter-spacing:.15pt"> </span>of<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.1pt">daily</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">living.</span></span></i><span style="font-size: 9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.25pt;margin-right:0in;margin-bottom:0in; margin-left:5.0pt;margin-bottom:.0001pt;line-height:10.2pt;mso-line-height-rule: exactly"><b><span style="font-size:9.0pt; mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">Aims</span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.3pt"> </span></b><b><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">&<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">Objectives:</span></span></b><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:9.15pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt;text-indent:9.35pt;line-height: 10.3pt;mso-line-height-rule:exactly"><!--[if gte vml 1]><v:shapetype id="_x0000_t75" coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"> <v:stroke joinstyle="miter" /> <v:formulas> <v:f eqn="if lineDrawn pixelLineWidth 0" /> <v:f eqn="sum @0 1 0" /> <v:f eqn="sum 0 0 @1" /> <v:f eqn="prod @2 1 2" /> <v:f eqn="prod @3 21600 pixelWidth" /> <v:f eqn="prod @3 21600 pixelHeight" /> <v:f eqn="sum @0 0 1" /> <v:f eqn="prod @6 1 2" /> <v:f eqn="prod @7 21600 pixelWidth" /> <v:f eqn="sum @8 21600 0" /> <v:f eqn="prod @7 21600 pixelHeight" /> <v:f eqn="sum @10 21600 0" /> </v:formulas> <v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect" /> <o:lock v:ext="edit" aspectratio="t" /> </v:shapetype><v:shape id="_x0000_s1026" type="#_x0000_t75" style=‘position:absolute; left:0;text-align:left;margin-left:1in;margin-top:.1pt;width:14.4pt;height:10.1pt; z-index:-10192;mso-position-horizontal-relative:page‘> <v:imagedata src="file:///C:UsersWWJ16AppDataLocalTempmsohtmlclip1 1clip_image001.png" o:title="" /> <w:wrap anchorx="page" /> </v:shape><![endif]--><!--[if !vml]--><span style="mso-ignore:vglayout;position: absolute;z-index:503306284;left:0px;margin-left:96px;margin-top:0px;width:19px; height:13px"><img width="19" height="13" src="file:///C:/Users/WWJ16/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" shapes="_x0000_s1026" alt="" /></span><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">To</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">study</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">the<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">results</span><span style="letter-spacing:.2pt"> </span>of<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">primary</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">replacement</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.15pt">(hemi</span><span style="letter-spacing:.25pt"> </span>or<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">total)</span><span style="letter-spacing:-.05pt"> </span>in<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">unstable</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">intertrochanteric fractures</span><span style="letter-spacing:.2pt"> </span>and<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">compare </span>it<span style="letter-spacing:.2pt"> </span><span style="letter-spacing: -.1pt">with</span><span style="letter-spacing:4.35pt;mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">conventional</span><span style="letter-spacing: .35pt"> </span><span style="letter-spacing:-.1pt">methods</span><span style="letter-spacing:.3pt"> </span>of<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">fixation.</span></span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:1.3pt;margin-right:9.15pt;margin-bottom: 0in;margin-left:5.0pt;margin-bottom:.0001pt;text-indent:9.35pt"><!--[if gte vml 1]><v:shape id="_x0000_s1027" type="#_x0000_t75" style=‘position:absolute;left:0; text-align:left;margin-left:1in;margin-top:1.55pt;width:14.4pt;height:10.1pt; z-index:-10168;mso-position-horizontal-relative:page‘> <v:imagedata src="file:///C:UsersWWJ16AppDataLocalTempmsohtmlclip1 1clip_image001.png" o:title="" /> <w:wrap anchorx="page" /> </v:shape><![endif]--><!--[if !vml]--><span style="mso-ignore:vglayout;position: absolute;z-index:503306308;left:0px;margin-left:96px;margin-top:2px;width:19px; height:13px"><img width="19" height="13" src="file:///C:/Users/WWJ16/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" shapes="_x0000_s1027" alt="" /></span><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">To</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">assess</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">functional</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.25pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt">outcome</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.15pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">in<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">patients</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">having</span><span style="letter-spacing: .15pt"> </span><span style="letter-spacing:-.05pt">unstable</span><span style="letter-spacing:-.1pt"> intertrochanteric</span><span style="letter-spacing: -.05pt"> </span><span style="letter-spacing:-.1pt">fractures</span><span style="letter-spacing:.2pt"> </span>in<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.05pt">both</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">groups</span><span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.15pt">as</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">per</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.1pt">Harris</span><span style="letter-spacing:.15pt"> </span><span style="letter-spacing:.1pt">hip</span><span style="letter-spacing:5.55pt; mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">score.</span></span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:3.85pt;margin-right:121.45pt;margin-bottom: 0in;margin-left:14.35pt;margin-bottom:.0001pt;line-height:111%"><!--[if gte vml 1]><v:group id="_x0000_s1028" style=‘position:absolute;left:0;text-align:left; margin-left:1in;margin-top:4.1pt;width:15.85pt;height:45.6pt;z-index:-10144; mso-position-horizontal-relative:page‘ coordorigin="1440,82" coordsize="317,912"> <v:shape id="_x0000_s1029" type="#_x0000_t75" style=‘position:absolute;left:1440; top:82;width:288;height:202‘> <v:imagedata src="file:///C:UsersWWJ16AppDataLocalTempmsohtmlclip1 1clip_image001.png" o:title="" /> </v:shape><v:shape id="_x0000_s1030" type="#_x0000_t75" style=‘position:absolute; left:1440;top:312;width:288;height:202‘> <v:imagedata src="file:///C:UsersWWJ16AppDataLocalTempmsohtmlclip1 1clip_image001.png" o:title="" /> </v:shape><v:shape id="_x0000_s1031" type="#_x0000_t75" style=‘position:absolute; left:1440;top:543;width:288;height:202‘> <v:imagedata src="file:///C:UsersWWJ16AppDataLocalTempmsohtmlclip1 1clip_image001.png" o:title="" /> </v:shape><v:shape id="_x0000_s1032" type="#_x0000_t75" style=‘position:absolute; left:1440;top:773;width:317;height:221‘> <v:imagedata src="file:///C:UsersWWJ16AppDataLocalTempmsohtmlclip1 1clip_image003.png" o:title="" /> </v:shape><w:wrap anchorx="page" /> </v:group><![endif]--><!--[if !vml]--><span style="mso-ignore:vglayout;position: absolute;z-index:503306332;left:0px;margin-left:96px;margin-top:6px;width:21px; height:60px"><img width="21" height="60" src="file:///C:/Users/WWJ16/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" shapes="_x0000_s1028 _x0000_s1029 _x0000_s1030 _x0000_s1031 _x0000_s1032" alt="" /></span><!--[endif]--><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:111%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">To</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:111%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.05pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:111%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">study</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:111%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;line-height:111%;font-family:"Times New Roman","serif";mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">the<span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.15pt">effect</span><span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">pre-existing</span><span style="letter-spacing: .1pt"> </span><span style="letter-spacing:-.05pt">illness</span><span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.15pt">on</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">final</span><span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">outcome</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.15pt">of</span><span style="letter-spacing:.2pt"> </span>the<span style="letter-spacing:-.15pt"> </span><span style="letter-spacing:-.05pt">patients</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">in</span><span style="letter-spacing: .1pt"> </span><span style="letter-spacing:-.05pt">both</span><span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.1pt">groups.</span><span style="letter-spacing:3.75pt;mso-font-width:101%"> </span><span style="letter-spacing:-.05pt">To</span><span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">study</span><span style="letter-spacing:-.1pt"> </span>the<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">stability</span><span style="letter-spacing:.1pt"> </span>of <span style="letter-spacing:-.1pt">fixation</span><span style="letter-spacing:.1pt"> </span>in<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:-.1pt">osteoporotic</span><span style="letter-spacing: .1pt"> </span><span style="letter-spacing:-.1pt">bones.</span></span></i><span style="font-size:9.0pt;line-height:111%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman""><o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:.05pt;margin-right:0in;margin-bottom:0in; margin-left:14.35pt;margin-bottom:.0001pt"><i><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-hansi-font-family:Calii;mso-hansi-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">To</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt">note</span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;letter-spacing:.2pt"> </span></i><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-hansi-font-family:Calii; mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi">any<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.1pt">complication</span><span style="letter-spacing: .2pt"> </span><span style="letter-spacing:-.1pt">developed.</span></span></i><span style="font-size:9.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman""><o:p></o:p></span></p> <p><i><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">To</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.05pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">compare</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.1pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">final</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.15pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">outcome</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.1pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">of</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.2pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">this</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.05pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">study</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.1pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.1pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">with</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.05pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.05pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">that</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.45pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;letter-spacing:-.15pt;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">of</span><span style="font-size:9.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-font-family: Calii;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi; letter-spacing:.2pt;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA"> </span><span style="font-size:9.0pt;mso-bidi-font-size: 11.0pt;font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calii;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-bidi;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA">the<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.1pt">other</span><span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.1pt">studies</span></span></i></p>
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Cite This Article:
MANAGEMENT OF UNSTABLE INTERTROCHANTERIC FRACTURE IN OLDER AGE PAITENT WITH FIXATION VERSUS HEMI OR TOTAL PRIMARY REPLACEMENT , DR PARTH N. PATEL, DR.PIYUSH MITTAL, DR. SANDIP RATHOD, DR PARTH BANKER , GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-7| Issue-12 | December-2018
