Primary cemented hemiarthroplasty for unstable intertrochanteric fractures in elderly: an intermediate follow-up

Abstract

BackgroundStandard methods of internal fixation for comminuted or osteoporotic unstable intertrochanteric fractures in the elderly have a relatively high complication rate. This is because of the poor bone quality and prolonged immobilization periods needed to protect the construct until sound union occurs.AimThe aim of the work was to evaluate the results of primary cemented hemiarthroplasty in elderly patients with unstable osteoporotic intertrochanteric fractures.Patients and methodsA total of 27 patients (all were above the age of 70 years) with unstable intertrochanteric fractures who were prospectively managed with primary cemented hip hemiarthroplasty were followed for an average of 4 years (range: 3.5-5.5). Harris hip score and patients' satisfaction were the evaluation criteria.ResultsAccording to the Harris hip score, 10 patients (37%) were graded as excellent, 12 patients (44.5%) as good, five patients as fair (18.5%), and no patients were graded as having poor end results. Total complications were 11 in number (0.4 complication/patient) with no major complications or operative mortality.ConclusionPrimary cemented hemiarthroplasty in elderly's unstable intertrochanteric fractures is a successful procedure regarding early mobilization, functional results, and complication rate.