International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2019, Volume 5 Issue 1

Functional outcome of unstable comminuted intertrochanteric fractures in elderly treated with primary bipolar hemiarthroplasty

Author(s): Dr. Vijaykumar Patil, Dr. Santosh S Nandi, Dr. Sandeep Naik, Dr. Vinaykumar B, Dr. Shreepad Kulkarni and Dr. Rajesh K Patel
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
Material and Methods: Prospective study of 31 cases presenting with unstable intertrochanteric fractures which satisfy inclusion and exclusion criteria admitted in shri B M Patil Medical College, Hospital, and Research center Vijayapura from year 2016- 2018 who are treated with Cemented Bipolar Prosthesis.
Results: In our study of 31 cases, there were 13 male and 18 female patients with mean age of 73.4 years. 84% of the cases admitted were due to trivial trauma, 16% due to RTA with left side being more common side affected. Mean duration of hospital stay was 11.03 days and mean time of full weight bearing was 3.97 days in our patients. One patient died on Postoperative day 5. 29% excellent, 32.3% good, 25% fair results obtained in our study according to Harris Hip Score.
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.

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