Cemented THR In Comminuted Intertrochanteric Multi-Fragmentary Fracture Femur And Previously Failed Hip Surgery Is Really A Challenge

Abstract

Comminuted intertrochanteric fracture is a common scenario in geriatric patient group. So far only DHS is the choice of implant to fix those fractures. But unfortunately we cannot allow the patient to full weight bearing mobilization before 6 weeks of surgery. And in addition of that due to osteoporotic bone many of the cases present with cut out of DHS later on. So in our center LabaidArthroplasty Center we started in trial basis cemented THR in Comminuted intertrochanteric fracture femur cases. In these cases we can allow patient to full weight bearing mobilization at minimum in 1st POD to maximum 3rd POD as pain permitted. In addition the previously failed hip surgeries also difficult to manage and cemented THA will be one of the best option in those cases. In subsequent follow up we observed better functional outcome in comparison to the cases of DHS. It is a case based study and need to be more theoretical and long term study before any conclusive decision.