PROSPECTIVE FUNCTIONAL OUTCOME STUDY OF PRIMARY CEMENTED HEMIARTHROPLASTY USED IN MANAGEMENT OF UNSTABLE INTERTROCHANTERIC FRACTURES IN THE ELDERLY PATIENTS

Abstract

Introduction: Hip fractures are the most commonly occurring fracture which leads to substantial morbidity and mortality in elderly population. Conventional treatment with internal xation devices in osteoporotic bones leads to screw cutout,implant breakage, varus collapse of femoral head and shortening on early weight bearing. Aim of this study is to asses functional outcome of cemented bipolar hemiarthroplasty in treatment of unstable intertrochanteric fracture. This study includes 20 cases of comminuted, Material&Method: unstable (AO/OTA type 31-A2.2 and type 31-A2.3) intertrochanteric fractures which had undergone cemented bipolar hemiarthroplasty and functional outcome was measured on sequential follow up on 3, 6 and 12 months post operatively with help of modied harris hip score. Bipol Results: ar hemiarthroplasty can be used as an alternative to conventional internal xation techniques as it provides stable xation and early weight bearing mobilisation, but is a technically demanding procedure so it requires more operative time, familiarity of surgeon to the technique along with incresed intraoperative blood loss. Conclusion: Bipolar hemiarthroplasty provides an effective alternative to internal xation techniques for treatment of unstable intertrochanteric fractures