Abstract: Introduction: The surgical stabilisation of elderly proximal femur fractures has improved thanks to recent developments. In many circumstances, the internal fixation fails. Inadequate fixing of the fracture, fracture pattern, and poor quality of the bone are all contributing causes of internal fixation failures. Elderly patients who have Bipolar Hemiarthroplasty (BHA) for unstable inter trochanteric fractures are compared to those who undergo Dynamic Hip Screw (DHS) fixation.
Methods: Department of Orthopaedics conducted a study on this topic. 30 Patients with Unstable Intertrochanteric Fractures were divided into two groups for a 12-month period of time: group A (Bipolar Prosthesis) in 16 cases, while group B (DHS) in 14 cases.
Results: “Evaluation of the patients was done using the Harris hip score during their follow up period. In group A, the Harris hip score at three, six, twelve months were 81.9, 76.7, 83.4 respectively. Similarly, in group B, the Harris hip score at three, six, twelve months were 72.80, 67.03, 73.71 respectively.
Conclusions: Bipolar Hemiarthroplasty may be an effective treatment option for older patients with osteoporotic Unstable Intertrochanteric fractures. Early mobilisation reduces the risk of problems such as pressure sores and pulmonary issues that can arise from prolonged immobilisation, and this also leads to better functional outcomes in Group A (BHA) than in Group B (DHS).
