Functional Outcome of Cemented Bipolar Hemiarthroplasty for Unstable Intertrochanteric Fractures of Femur in Elderly: An Indian Perspective
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: The management of unstable intertrochanteric fracture in elderly patients poses the challenges of difficult anatomical reduction as well as the need for prolonged immobilization and delayed weight bearing to prevent implant failure secondary to poor bone quality. Because of prolonged immobilization, complications such as deep vein thrombosis, hypostatic pneumonia, pressure sores, dehydration, atelectasis, and metabolic disturbances may increase the morbidity and mortality. The purpose of this study was to evaluate the use of cemented bipolar hemiarthroplasty as the primary treatment in unstable intertrochanteric fractures in patients above 70 years of age. Materials and Methods: This prospective study was conducted at Department of Orthopedics, B. J. Medical College and Sassoon General Hospital, Pune, Maharashtra, during July 2008 to May 2010. Records of total 34 patients with unstable intertrochanteric fractures treated under our hospital’s Orthopedic Department were analyzed. Results: Out of 34 patients enrolled in the study, 2 patients died during the study, hence the results of remaining 32 patients were analyzed with an average follow-up of 12 months. The average age of the patient was 79.35 years (range 70-94 years). The average surgery time was 82.53 min (range 62-110 min). The average intraoperative blood loss was 409.37 cc and average stay in the hospital was 14.53 days (range 5-21 days). At 1-year follow-up with help of Harris Hip Score, 8 patients (25%) were graded as excellent, 10 patients (31.25%) as good, 10 (31.25%) as fair, 2 (6.25%) as poor, and 2 (6.25%) as failed. Conclusion: Treatment of unstable intertrochanteric fractures in elderly patients with cemented bipolar hemiarthroplasty results in reduced complications of prolonged immobilization and easy rehabilitation along with rapid return to functional level.
Authors and Affiliations
Praful Rawate, Amit R Kale, Chandrashekhar S Sonawane
Keywords
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