Abstract
Background: Intertrochanteric femur fracture incidence has increased due to increased life expectancy and osteoporosis.
 Methods- The present study was prospectively carried out in 60 consecutive patients of Fracture Intertrochanter Femur and treated with Hemiarthroplasty with Cemented Bipolar Prosthesis and Proximal Femoral Nail.
 Results: The age of the patients in present study was in range of 60 - 80 years. There was a preponderance of female in present study in both groups. The mean duratioin of surgery in the Bipolar group (91.24±9.21Minutes) was much More That In PFN (53.12 ±6.02Minutes) Group. All patients of Bipolar group was discharged between 4 to 9 days and in PFN group 4 to 12 days after surgery. The average harris hip score in PFN group is 87.32±4.13 and in Bipolar group is 85.02±7.92. Final functional outcome were better in PFN group (P value 0.01) than by Bipolar group and significant.
 Conclusion: The outcomes of the stable fractures treated with either Bipolar or PFN were similar. Unstable comminuted fractures treated with Bipolar showed significantly better outcomes with all patients having good results.
 Keywords: Hip Arthroplasty, PFN, Complication
Highlights
Intertrochanteric fractures are a major cause of morbidity and mortality in elderly population
Final functional outcome were better in PFN group (P value 0.01) than by Bipolar group and significant
Stable intertrochanteric fractures can be treated by osteosynthesis with predictable good result whereas the management of unstable intertrochanteric fracture are challenging because of poor bone quality, osteoporosis, and other underlying diseases
Summary
Intertrochanteric fractures are a major cause of morbidity and mortality in elderly population. It is necessary to choose an appropriate treatment modality so that they could be mobilized early and return to their respective activities early.[3] The surgical treatment for trochanteric fracture remains a challenge to a surgeon in terms of modality of treatment which gives the elderly patients early mobilization and rehabilitation, as the same are more prone to complications than the younger age group. This present study compares clinical outcomes of intertrochanteric fractures treated with PFN to bipolar hemiarthroplasty (BPH) in elderly patients.[4]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
