PRIMARY CEMENTED BIPOLAR HEMIARTHROPLASTY IN UNSTABLE OSTEOPOROTIC FRACTURE OF INTERTROCHANTRIC FEMUR IN ELDERLY PATIENT

Dr Supratim Roy, Dr Kiran N Wandile, Dr Chandrashekhar M Badole, Dr Rohan R Patil, Dr Aniket K Wankhede

Abstract


Background: Inter trochanteric fractures are one of the most common injuries in orthopaedics with high incidence of
morbidity due coexistent medical problems. 35-40% of total intertrochanteric fractures being unstable, is a major cause
of disability and death in elderly. The main motive of performing bipolar hemiarthroplasty such fractures in elderly is early ambulation and to
avoid complications associated with internal fixation.
Methods: 22 cases were operated with cemented bipolar hemiarthroplasty along with tension band wiring of trochanter by posterolateral
approach. Results were analysed using standard Harris Hip Score.
Results: Out of 22 patients according to Harris Hip Score 8 patients had excellent results, 8 had good, 3 fair, 1 poor and 2 failed at the end of 1 year.
Complications like dislocation , medial cortex fracture and shortening noted.
Conclusion: Cemented Bipolar Hemiarthroplasty in unstable Intertrochanteric fracture with osteoporosis can avoid complications associated
with internal fixation and provide early mobilisation


Keywords


Unstable Inter trochanteric fractures, cemented bipolar hemiarthroplasty, Harris Hip Score.

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