Primary modular bipolar prosthetic replacement for unstable intertrochanteric fractures in elderly
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 1
Abstract
Unstable intertrochanteric fracture in elderly is a challenging surgical condition with a high risk of morbidity and mortality. The aim of this study is to evaluate the functional outcome following primary modular bipolar prosthetic replacement for unstable intertrochanteric fractures in elderly. Materials and Methods: A prospective Study of 46 patients were evaluated from tertiary hospital for a period of Dec 2014 to June 2017. 46patients (40 females and 6 males—all were 75 years old or above) who had bipolar arthroplasty for unstable intertrochanteric fractures were prospectively evaluated. Lateral approach was used in all patients. Harris Hip Score (HHS) used for functional evaluation, however radiological follow up was done using plain X-rays. Follow up period ranged from 6weeks to 30 months Results: The Harris Hip Score were. 6 cases (12.5%) had excellent, 11(25%) had good, 23(50%) had fair and 6(12.5%) had poor results. In this study 5 cases had complications; like shortening in 2 patients, anterior thigh pain in 1 patients, decubitus ulcer in 1 patient, External rotation deformity in 1patient. Conclusion: Primary modular bipolar prosthetic replacement is a viable option for treatment in a selected group of previously independently mobile elderly patients with unstable intertrochanteric fractures and osteoporosis. The patients rapid return to the pre fracture level of activity significantly reduced the incidence of complications related to immobilization early walking with full weight bearing is the major benefit and goal of the procedure.
Authors and Affiliations
Dr. Ramu AC, Dr. Roshan SD, Dr. Anoop
Keywords
Related Articles
- EP ID EP506387
- DOI -
- Views 93
- Downloads 0
Comparative study of minimally invasive plate osteosynthesis versus distal tip locking tibia nailing in treatment of distal 1/3 tibia shaft fractures
Introduction: Distal 1/3 tibia shaft fractures pose a greater challenge to the surgeon due to its proximity to the ankle joint and due to lack of soft tissue protection. Choosing Modality of fixation in this fractures is...
Anterior decompression techniques in cervical myelopathy
The pathophysiology of cervical myelopathy is multifactorial with both static factors causing stenosis and dynamic factors resulting in repetitive injury to the spinal cord. The symptoms are related directly to the degre...
Evaluation of results of surgical management of closed intra-articular fractures of distal end Humerus
Introduction: The management of distal humeral fractures has evolved over the last few years. In intra articular fracture of the lower end Humerus the primary goal is to achieve a stable and mobile elbow. Until now, disa...
Is Aperture Fixation Superior to Cortical Fixation for Quadruple Hamstring Graft in Anterior Cruciate Ligament Reconstruction?
Introduction: ACL is a commonly injured ligament of the knee. The incidence is rising due to increased motor vehicle accident. To regain full activity, its proper reconstruction is essential. Different technique develope...
Rationality and outcome of activity related treatment approach in the management of non-specific low back pain in young adults
Background: The occurrence of Non-specific low back pain is very common. 15% to 30% of the Young adults develop this condition. Some Orthopaedic surgeons commonly prescribe bed rest for Non-specific low back pain along w...