Functional Outcome Of Primary Cemented Bipolar Hemiarthro-Plasty In Unstable Intertro-Chanteric Fractures Of Elderly – A Prospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 2
Abstract
Background: Unstable intertrochanteric fractures in elderly are difficult to treat. Internal fixation of these fractures often results in implant failure owing to poor bone quality and complex fragment geometry, necessitating prolonged bed rest post-operatively and thereby increasing the chances of deep vein thrombosis, pulmonary embolism and decubitus ulcer. The purpose of this prospective study is to evaluate the functional outcome of cemented bipolar hemiarthroplasty as a primary treatment for unstable intertrochanteric fractures in elderly patients. Materials and methods: 15 cases of unstable intertrochanteric fractures treated by primary cemented bipolar hemiarthroplasty between September 2013 and June 2015 were included in this prospective study. There were 7 males and 8 females with a mean age of 70.8 years (range 65-95 years). Results: The average follow-up was 11.2 months (range 3-18 months). Two patients were lost to follow-up. 66.7% of the cases admitted were due to trivial trauma and the rest 33.3% due to road traffic accident. Boyd and Griffin Type II fractures accounted for 93.3% of cases. The average blood loss was 300 ml (range 150-550 ml). Mean duration of hospital stay was 14.4 days and mean time to full weight bearing was 4.1 days. There were 2 cases of superficial infection and 1 case of deep infection. 3 patients had shortening of limb post-operatively with an average shortening of 1.6 cm (range 1-2.5 cm). 3 patients were graded as excellent and 10 patients as good at the end of 1 year with a mean Harris Hip Score of 88.9 (range 88-92). Conclusion: Primary cemented bipolar hemiarthroplasty for unstable intertrochanteric fractures in elderly reduces the complications of prolonged immobilization, prolonged rehabilitation, marked residual deformities and need for revision surgeries. The procedure offers faster mobilization, rapid return to pre-injury level, thereby improving the quality of life.
Authors and Affiliations
Pragash M, Elango M, Manikandan K
Keywords
Related Articles
- EP ID EP394772
- DOI -
- Views 122
- Downloads 0
Functional And Radiological Assessment Of Component Position In Total Hip Arthroplasty Using 2D Computed Tomography
Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. Dynamic Hip Screw (DHS) is still considered...
Proximal Femoral Nailing Vs Dynamic Hip Screw For Intertrochanteric Fractures – A Comparative Clinical Study
Intertrochanteric fractures are one of the common fractures encountered in today's orthopaedic practice. Over time, a number of implants have been used for the same. Multiple studies have been conducted in the past to st...
Study Of Locking Plate For Fracture Proximal Humerus
The current study was undertaken to assess the functional evaluation of proximal humerus fracture treated with open reduction and internal fixation with locking plate. Evaluation was done in view of range of...
Comparative study between results of orthogonal vs parallel plating in treatment of distal humerus fracture
Background: The study was conducted to evaluate the outcome of the parallel plating system and orthogonal plating system in distal humerus intraarticular fracture Material and Methods: 30 patients of age between 18 to...
Titanium Elastic Nailing System (TENS) In Paediatric Shaft Femur Fractures: Our Experience In 20 Cases
Background: Femoral Shaft fractures in paediatric age group are common injuries and needs prompt intervention. The results mainly depend on the type of implant used and good anatomical reduction. Use of Flexible intramed...