Comparative between standard dynamic hip screw and cemented bipolar arthroplasty in trochanteric fracture of femur in elderly patient

Abstract

Introduction: Unstable intertrochanteric fracture in elderly is a very disturbing condition for patients. This research is aimed to compare the clinical functional results between the standard dynamic hip screw (DHS) and the cemented bipolar arthroplasty in elderly patients with unstable femur intertrochanteric facture. Unstable femur intertrochanteric facture in elderly patients represented the very disturbing condition in the patients’ health history. Methods: This research was conducted in January to February 2016. The patients’ medical data were the secondary data, and the interview results were the primary data. This was an analytic cross-sectional study. The data were analyzed by cross tabulation, Chi-square test, and Mann-Whitney U-test. Out of 38 samples, 21 samples are of DHS, and 17 samples are of cemented bipolar arthroplasty. Results: In the clinical functional data based on Wilson and Salvati’s score system, there was no significant difference between both groups (p>0.05). There was no difference in the score of walking and its function (p>0.05). The time-toweight- bearing was significantly different in the DHS and the bipolar groups with p value of < 0.001. DHS treatment gave better and more significant pain score of the muscular strength and motion than the group with bipolar treatment. Conclusion: There is no significant difference in clinical function results based on the Salvati and Wilson’s score between DHS and Cemented Bipolar Arthroplasty in both groups.