To Study the Functional Outcome of Primary Cemented 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 2013 and November 2015 treated with Cemented 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 4.7days 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.

A comparative study between osteosynthesis by proximal femoral nail (PFN) and Coxafemoral bypass with bipolar hemiarthroplasty Incomminuted inter- trochanteric fractures of femur in elderly patients

“…In group B, 9 (30%) patients had excellent outcome. 7,8 The difference among outcome at one year in both groups showed no statistical significance by chi square test. (P>0.05).…”

“…(P>0.05). 7,8 Narendra Reddy Medagam et al observed the mean HHS at the end of 6 weeks in proximal femoral nails (PFN) group was 73.09 and in coxofemoral bypass group was 77.8. At the end of 6 months, the mean HHS in PFN was 77.38 and in coxofemoral bypass group was 79.85.…”

Osteosynthesis by Proximal Femoral Nail (PFN) Vs coxafemoral bypass with bipolar hemiarthroplasty in comminuted inter-trochanteric fractures of femur

“…(P<0.05) But, at 6 and 9 months both groups shows better outcome with no statistical significant difference. (p>0.05) [7,8] . Narendra Reddy Medagam et al observed the mean HHS at the end of 6 weeks in proximal femoral nails (PFN) group was 73.09 and in coxofemoral bypass group was 77.8.…”

“…Out of total 60 patients, 38 were females while 22 patients were male. There was female dominance with 18 (60%) and 20 (66.67%) patients among Group A and Group B respectively [7,8] . There was no gender difference when two groups were compared statistically.…”

“…In the present study, it was observed that majority of patients in Group A (60%) had good outcome followed by excellent outcome (20%). In group B, 9 (30%) patients had excellent outcome [7,8] . The difference among outcome at one year in both groups showed no statistical significance by chi square test.…”