INTERTROCHANTERIC  FRACTURES OF FEMUR IN ELDERLY PATIENT TREATED WITH CEMENTED BIPOLAR HEMIARTHROPLASTY –CLINICAL STUDY

DR.SRINATH.S.R; DR.SIDDESH PATIL .G.S; DR.MANJUNATH REDDY.J; DR.VENKATARAMANA RAO; DR.KARIBASAPPA.A. G

Volume : IV, Issue : VIII, August - 2015

INTERTROCHANTERIC FRACTURES OF FEMUR IN ELDERLY PATIENT TREATED WITH CEMENTED BIPOLAR HEMIARTHROPLASTY –CLINICAL STUDY

Dr. Srinath. S. R, Dr. Siddesh Patil . G. S, Dr. Manjunath Reddy. J, Dr. Venkataramana Rao, Dr. Karibasappa. A. G

Abstract :

Unstable intertrochanteric fractures in elderly are surgical challenge to treating surgeon. When treated with internal fixation to achieveosteosynthesis they have higher rates of complications .Many of these problems have been addressed by introduction of hemiarthroplasty as primary surgical procedure for these fractures.Although cemented hemiarthroplasty itself has technical issues because of fracture comminution, osteoporosis and difficult surgical exposure, it has given good results. We did a prospective clinical study to evaluate clinical and radiological outcome of cementedbipolar hip hemiarthroplasty with bipolar prosthesis in elderly patient with unstable intertrochanteric fractures.we operated on 16 cases( 12 male& 4 female patients) of unstable intertrochanteric fractures of femur in elderly ( > 70 yr )in our institution from June 2011 to Feb 2014.Twelve patients (75%) were operated after preoperative evaluation with modified Moore�s approach with in 72 hours of admission .Early mobilization and prevention of perioperative complications was the main goal of the surgery. Patients were followed up for a minimum of 12 months.out of 16 patients operated there was one perioperative death, two were lost to follow up. Remaining 13 patients were assessed for clinical and radiological out come using Harris hip score. Harris hip scoring showed excellent out come in 2 patients ( 15%), good out come in 8 patients (62%) ,fair outcome in 2patient (15%) and poor in one patient(8%) with an average score of 71.5. Conclusion:Cemented bipolar hemiarthroplasty has an important role to play in the management of unstable intertrochanteric fractures in elderly .It helps in early weight be� and mobilization and prevention of many complications of prolonged recumbency. It has acceptable rate of complications and results in excellent–good outcome.