Study of unstable intertrochanteric fractures treated by cemented bipolar hemiarthroplasty in elderly patients

Abstract

1.1 Aims and Objectives: To study the functional outcome of unstable intertrochanteric fracture treated with bipolar cemented prosthesis and complications associated with it. Also to facilitate early mobilization, early weight bearing with rapid rehabilitation in elderly patient with unstable intertrochanteric fractures 1.2 Material and methods: Prospective study of 20 cases presenting with unstable intertrochanteric fractures which satisfy inclusion and exclusion criteria admitted in Vijayanagar Institute of Medical Sciences, Ballari from year 2013- 2016 who are treated with Cemented Bipolar Prosthesis. 1.3 Results: In our study of 20 cases, there were 9 male and 11 female patients with mean age of 77.3 years. 75% of the cases admitted were due to trivial trauma, 25% due to RTA with left side being more common side affected. Boyd & Griffin’s Type II fractures accounted for 75% of cases. Mean duration of hospital stay was 12.6 days and mean time of full weight bearing was 3.9 days in our patients. 1 patient died on Postoperative day 5. 25% excellent, 30% good, 30% fair results obtained in our study according to Harris Hip Score. 1.4 Conclusion: Our study concludes that Cemented Bipolar Hemiarthroplasty in elderly patient with unstable intertrochanteric fracture reduces complications of prolonged immobilization, prolonged rehabilitation which are associated with internal fixation. Also reduces need for secondary surgery which required in cases of malunited fractures, non-union and implant failure. The procedure offered rapid mobilization, rapid return to pre injury level and improved quality of life.