Volume : VII, Issue : VIII, August - 2018

CEMENTED BIPOLAR HEMIARTHROPLASTY IN MANAGEMENT OF COMMINUTED INTERTROCHANTERIC FRACTURE OF FEMUR IN ELDERLY

Dr. Mahesh M. Mulay, Dr. Pranav D. Shah, Dr. Nikhil A. Gadre

Abstract :

 (Context) Intertrochanteric fractures with comminution are highly unstable and difficult to treat. Conservative treatment with traction and

prolonged immobilization lands up with many complications like pulmonary embolism, deep vein thrombosis, malunion, orthostatic pneumonia
and decubitus ulcer. Rate of failure with dynamic hip screw–barrel plate has been found to be high. Revision procedures are technically demanding
and it leads to complications.
(Aim) The aim of this study was to assess the efficacy of cemented bipolar hemiarthroplasty in the management of comminuted intertrochanteric
fractures.
(Settings & Design) A case series of 20 cases
(Materials & Methods) 20 patients with comminuted intertrochanteric fractures were treated with primary cemented bipolar hemiarthroplasty.
There were 14 females and 6 males with a mean age of 76.65 years.
(Results)The average surgery time was 103.5 minutes with an average intra–operative blood loss of 227.5 ml. Two patients needed blood
transfusion postoperatively. The patients walked on an average 4 days after surgery. One patient had superficial skin infection and one had bed sore
with no other significant postoperative complications. A total of 18 out of 20 patients had excellent to fair functional results and 2 had poor result
with respect to Harris hip score.
(Conclusion)Cemented bipolar hemiarthroplasty for comminuted intertrochanteric fractures in elderly results in early ambulation and good
functional results although further prospective randomized trials are required before reaching to conclusion.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Mahesh M. Mulay, Dr. Pranav D. Shah, Dr. Nikhil A. Gadre, CEMENTED BIPOLAR HEMIARTHROPLASTY IN MANAGEMENT OF COMMINUTED INTERTROCHANTERIC FRACTURE OF FEMUR IN ELDERLY, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-8 | August-2018


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