Outcomes of primary bipolar hemiarthroplasty in the management of unstable inter-trochanteric fracture of femur among elderly

Abstract

Aims and Objectives:To evaluate the results with regard to function, to restoring proper limb length after surgery and to study the associated complications in intertrochanteric fractures treated by cemented bipolar hemiarthroplasty in elderly. Methodology: This is a prospective study of 25 cases of Intertrochanteric fractures admitted to a tertiary care center between August 2016 and November 2018 treated with Bipolar Hemiarthroplasty for intertrochanteric fractures. Cases were taken according to inclusion and exclusion criteria. Results: In our study of 25 cases, there were 14 male and 11 female patients with mean age of 72.8 years. 80% of the cases admitted were due to trivial trauma, 20% due to RTA with left side being more common side affected. According to OTA classification Type 31A2.2 fractures accounted for 60% of cases & Type 31A2.3 accounted for 40 %. Mean duration of hospital stay was 13.2 days and mean time of full weight bearing was 4.7d ays in our patients. Excellent was seen in 24% cases Fair to Good results were seen in 72% of cases in our study according to Harris Hip Score. Conclusion:From our study we conclude that Cemented Bipolar Hemiarthroplasty for intertrochanteric fractures in elderly reduced the complications of prolonged immobilisation, prolonged rehabilitation, marked residual deformities and need for revision surgeries. The procedure offered, faster mobilization, rapid return to pre injury level, improved the quality of life.

Functional Outcome of Bipolar Hemiarthroplasty for Proximal Femoral Neck Fractures in Elderly: A Prospective Study

“…9 It can be said that for unstable intertrochanteric fractures in the older population bipolar hemiarthroplasty is an enduring and adaptable solution. 10 Fixation loss, excessive collapse, and cut-out of the lag screw causing poor function remain an issue related to internal fixation of unstable intertrochanteric fracture in the geriatric patients having osteoporotic bones. Studies show that several surgeons recommend a prosthetic replacement for the treatment of unstable intertrochanteric fractures to enable the earlier postoperative weight-bearing as well as to prevent excessive collapse at the site…”