Functional Outcome of Primary Cemented Hemiarthroplasty for Comminuted Unstable Pertrochanteric Femoral Fractures (AO/OTA Type 31 A2.3) in Elderly Osteoporotic Patients
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 8
Abstract
Introduction: Most intertrochanteric fractures occur in elderly people (above 65 years) with reported mortality rates ranging from 15% to 30%. Materials and Methods: They Operated 50 elderly osteoporotic patients with a mean age of 65.5 years who sustained comminuted intertrochanteric femur fracture treated with cemented bipolar hemiarthroplasty and tension band wiring for greater trochanter through transtrochanteric approach. Results: In case series, we came across some serious complications such as infection, dislocation, osteolysis, non-union greater trochanter, protusio, and implant breakage, but no fatalities were reported. 5 of our patient underwent repeat surgery in the form of total hip replacement and one excision arthroplasty. Conclusion: From study, would like to suggest that cemented bipolar hemiarthroplasty is a viable technique for elderly osteoporotic patients with comminuted intertrochanteric femur fracture using transtrochanteric approach with no trauma to abductors or external rotators of hip and sciatic nerve as we approach the hip through the fracture site itself and not posteriorly as in Southern Moore’s approach. It also helps in faster rehabilitation and recovery in elderly osteoporotic patients.
Authors and Affiliations
SA Mustafa, Johney Juneja, Gurdeep Singh, Rishi Gupta
Keywords
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