Hemiarthroplasty in Unstable Intertrochanteric Fractures in Elderly: A Prospective Study

Abstract

Background: Grossly comminuted intertrochanteric fractures in osteoporotic bones are highly unstable and difficult totreat. Hemiarthroplasty is a popular choice because it provides stability and enables for immediate complete weightbearing.Objectives: The goal of this trial was to see how effective cemented hemiarthroplasty was at treating proximal femoralfractures in older people with severe osteoporosis.Methods: Thirty patients who had bipolar hemiarthroplasty for unstable intertrochanteric fractures were studiedprospectively. The posterior (Moore’s) technique was used to treat all of the patients with cemented bipolar prostheses.The average time of follow-up was 12 months. The modified Harris hip score was used to evaluate the patients.Results: Abductor weakness was present in 5 of the individuals. At the 12-month follow-up, 21 cases (70%) had badresults, while three cases (10%) had poor results. The average length of stay in the hospital was 10.9 days. Excellent to fairresults were observed in 24 patients, as measured by the modified Harris hip score.Conclusion: In older individuals with significant osteoporosis, the therapy of unstable intertrochanteric fractures differsfrom the treatment of other proximal femoral fractures. Internal fixation is not as effective as cemented hemiarthroplastyin treating these fractures. This approach has a clear advantage in terms of early full weight bearing and recovery. Hipsthat have undergone cemented hemiarthroplasty are stable and mobile. Weight bearing can begin earlier than with othertreatment approaches, avoiding any recumbency-related problems.