Primary Cemented Hemiarthroplasty in Unstable Inter- Trochanteric Fracture of Femur in Elderly

Varun Goel¹*, Neha Bhardwaj² and Abhishek Garg³

Received: July 30, 2019;   Published: August 09, 2019

DOI: 10.32474/OSMOAJ.2019.03.000152

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Abstract

Introduction: Unstable Intertrochanteric fractures are Complex fractures which become more difficult when it’s associated with age related osteoporosis. Internal fixation methods like Dynamic hip screws and proximal femoral nails have lot of complications which adds to the morbidity and mortality of the patient.

Material and Methods: 23 patients aged more than 60 years presenting with unstable Intertrochanteric Femur fracture were operated with primary cemented bipolar Hemiarthroplasty Along with Greater Trochanter and Lesser Trochanter reconstruction with Steel wires or non-absorbable sutures.

Result: The average Harris Hip Score (HHS) at final follow up was 85.24 with 9 excellent, 7 good, 3 fair and 2 poor results.

Conclusion: Hemiarthroplasty in unstable Intertrochanteric fractures is better than other methods of internal fixation in elderly patients as it has less complications and the major advantage of bipolar Hemiarthroplasty is early mobilization and less mechanical complications.

Keywords: Bipolar; Hemiarthroplasty; unstable Intertrochanteric fracture; osteoporosis

Abstract| Introduction| Material and Methods| Surgical Technique| Result| Discussion| Conclusion| References|