International Journal of Orthopaedics Sciences

Cemented modular bipolar in unstable femur intertrochanteric fracture in osteoporotic elderly patients- its functional outcomes

2020, Volume 6 Issue 1

Cemented modular bipolar in unstable femur intertrochanteric fracture in osteoporotic elderly patients- its functional outcomes

Author(s): Dr. Ashish Gaur, Dr. Mahendra Prakash Jain and Dr. Vinay Joshi
Abstract: Introduction: Intertrochanteric femur (IT) fracture is a common fracture in old age. The cause of long morbidity and mortality in I/T femur is malunions, nonunions, respiratory tract infection and bed sores etc., As we routinely do treatment modality like DHS and PFN are time tested but with availability of better cemented modular bipolar techniques and implant mortality and morbidity can be reduced.
Aims and objectives: To study functional outcome of cemented modular bipolar for management of unstable intertrochanteric fracture femur in elderly osteoporotic patients.
Method and Materials: 60 yrs. and above 30 patients who were admitted and operated between november 2017 to march 2019 and had fulfilled the inclusion criteria were enrolled for this study. Cemented modular bipolar was done, Total numbers of patient 30, of mean age of 70.2 yrs and F:M ratio is 19:11. A follow up period of total 1 years. Follow up was done at 6 week, 3 months, 6 months and at 1 year by Harris Hip Scoring System assessed post operatively. x ray and bone scan was done to asses osteoporosis.
Result: For result assessment and evalution we use, Harris hip score, Chi- square test, T-test, and statistical analysis. Our P value< 0.05 was considering significant. In our study we get 1 had superficial wound infection, no one had deep infection or pulmonary infection. Over all very less post operative complication and early mobilisation and ambulation was done, excellent result at the end of 1 yr patient who follow up all had good to excellent results.
Conclusion: Functional recovery and early post operative Harris hip score were excellent in osteoporotic patients treated with cemented modular bipolar as compared to routine internal fixation group. Post operative complications were more with DHS and PFN due to osteoporotic bone than cemented modular bipolar group and were comparable with other studies. Thus in conclusion, primary cemented modular bipolar does provide a stable, pain-free, and early mobile joint with acceptable less complication rate as seen in our study; however a larger prospective randomised study comparing the use of dynamic hip screwand proximal femur nail devices against primary cemented modular bipolar for unstable intertrochantric fractures in osteoporosis will be needed.
Pages: 1250-1254  |  681 Views  73 Downloads
How to cite this article:
Dr. Ashish Gaur, Dr. Mahendra Prakash Jain, Dr. Vinay Joshi. Cemented modular bipolar in unstable femur intertrochanteric fracture in osteoporotic elderly patients- its functional outcomes. Int J Orthop Sci 2020;6(1):1250-1254. DOI: 10.22271/ortho.2020.v6.i1q.1989
 
International Journal of Orthopaedics Sciences
Call for book chapter