UNSTABLE INTERTROCHANTERIC FRACTURE IN ELDERLY TREATED WITH CEMENTED BIPOLAR HEMIARTHROPLASTY AND TROCHANTERIC RECONSTRUCTION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 26
Abstract
INTRODUCTION: Unstable inter-trochanteric fracture in the geriatric population is a common injury and is associated with poor bone quality, excessive collapse, loss of fixation, and cut-out of the lag screw, are the common problems of attempts to fix these fractures. Present study is an attempt to evaluate the functional outcome of primary cemented bipolar hemiarthroplasty and trochanter reconstruction in these patients. MATERIALS AND METHODS: This prospective study included 30 cases of elderly osteoporotic patients with mean age of 65.4 years who sustained comminuted inter-trochanteric femur fracture treated with cemented bipolar hemiarthroplasty& tension band wiring for greater trochanter reconstruction. It is an essential technical step to avoid complication like abductor lurch gait. We here describe a technique of reconstruction and fixation of greater trochanter using tension band wiring in figure of eight pattern. The patients were followed up at six week, three month, six month and one year postoperatively and assessed using Harris Hip Score (HHS). RESULTS: The mean HHS score was was 85.6+SD 9.5 (range from 74 to 96). By the end of one year. The main clinical measures were early post-operative full weight bearing, post-operative complication & functional outcome. The time to full weight bearing, the rate of post-operative complications & functional outcome was significantly better in cemented bipolar arthroplasty group. DISCUSSION: The changes in HHS up to six months periods are much greater which starts showing a stable trend thereafter. Fair to good scores were observed in all the patients. The purpose of its use was that while Harris Hip Score (HHS) provides information on a multitude of factors. Superficial infection in 2 patients, anterior thigh pain in a patient, shortening less than 2cms in 2 patients, abductor lurch in a patient are the complications noted in post-operative period, but no patient required revision surgery. CONCLUSION: The authors believe that primary cemented bipolar hemiarthroplasty for unstable inter-trochanteric fractures of femur in elderly does provide early ambulation, good functional outcome, pain free joint with minimal complications without the need for revision surgery.
Authors and Affiliations
Jagadeesh Kumar Jayapalan, Parthasarathy Pandian, Sankaralingam Pandian, Chakravarthy Rajendiran, Venkatesh Duraisamy
Keywords
Related Articles
- EP ID EP230950
- DOI 10.18410/jebmh/2015/553
- Views 88
- Downloads 0
STUDY OF VITAMIN D LEVELS IN PATIENTS OF ACUTE MYOCARDIAL INFARCTION
BACKGROUND Acute myocardial infarction (AMI) is a major concern globally and recent studies explored the role of vitamin D deficiency as one of the predisposing factors and documented its deleterious effect both in morta...
A PROSPECTIVE STUDY OF MANAGEMENT OF MALIGNANT TUMORS OF HYPOPHARYNX IN A TERTIARY HOSPITAL
INTRODUCTION: Malignant growths of Hypo Pharynx are one of the common Head and Neck malignancies in India. Males are commonly affected due to their smoking habit and use of Tobacco products, chewing habits. The combined...
EVALUATION OF CLINICAL SUCCESS AND OUTCOMES IN MANAGEMENT OF PERIPANCREATIC HAEMORRHAGE
BACKGROUND Peripancreatic haemorrhage though rare, has lethal outcomes. This rare scenario is a consequence of pancreatic diseases per se as well as surgical complication of pancreatobiliary surgery. The aim of this stud...
STUDY OF MENSTRUAL CYCLE DISORDERS IN ADOLESCENT GIRLS IN RELATION TO BMI
BACKGROUND The onset of menstruation or menarche is a hallmark of female pubertal development. Menstrual disorders are common among adolescent girls and are a significant source of morbidity in this population. Several e...
STUDY OF PERINATAL OUTCOME OF PREGNANCIES WITH INTRAUTERINE GROWTH RESTRICTION IN A TERTIARY CARE CENTRE IN NORTH KERALA
BACKGROUND Intrauterine Growth Restriction (IUGR) remains one of the main challenges in maternity care. Intrauterine Growth Restriction (IUGR) is commonly defined as an estimated foetal weight of less than the 10th perce...