Prosthetic replacement in geriatric intertrochanteric fracture

Author(s): Dr. Suresh Babu Surapaneni, Dr. Nanda Gopal Velagapudi and Dr. Venkata Suresh Babu Tummala

Abstract: Fracture stability, bone strength, and early rehabilitation determined the final results in cases of intertrochanteric fractures of femur of patients having the age above 60 years. The role of the Fixation devices for osteosynthesis in unstable osteoporotic and severely comminuted intertrochanteric fractures is still to be defined. 37patients who were treated with hemiarthroplasty were studied retrospectively. Only AO/OTA type 31-A2.2 and 31-A2.3 and Evans type III or IV fractures were included. We analyzed for the functional outcome and radiological follow up and compared the results of this study to those in the literature. At final follow-up the mean HHS was 84.8±9.72 (range 58–97). A total of 6 patients (17.14%) were graded as excellent, 12 patients (34.28%) as good, 11 as fair (31.42%), 4 as poor (11.42%), and 2 as failed (5.71%). The medial offset was lower on the operated hip. The values of medial off set of operated hip were {Range 3.09-4.86, mean was of 3.73(SD 0.48)}, the values of non-operated hip were {Range 3.12-5.65, mean was of 3.99(SD 0.62)} and the p-value was 0.017. The vertical offset was higher on the operated hip. The values of vertical off set of operated hip were {Range 3.34-6.26, mean was of4.46 (SD 0.79)},the values of Contra lateral hip were {Range 2.90-5.65,mean was of 4.38 (SD 0.74)} and the p-value was 0.875.As observations made in, there is increase in vertical offset of the operated hips, which does not correlate with limb length shortening.

DOI: https://doi.org/10.22271/ortho.2017.v3.i1i.88