Study of Results of Bipolar Hemi Replacement  Arthroplasty Versus Conventional Methods  of Treatment in Cases of Unstable Proximal  Femoral Fracture

Dr. Dhaval J Patel; Dr. Yatin J Desai

Volume : II, Issue : XII, December - 2013

Study of Results of Bipolar Hemi Replacement Arthroplasty Versus Conventional Methods of Treatment in Cases of Unstable Proximal Femoral Fracture

Dr. Dhaval J Patel, Dr. Yatin J Desai

Abstract :

The management of unstable intertrochantric fractures in elderly is challenging because of difficult anatomical reduction, poor bone quality, and sometimes a need to protect the fracture from stresses of weight be�. The aim of this study was to find out which of these treatment options can lead to the best clinical and functional outcomes. Thirty patients with an unstable comminuted intertrochanteric femoral fracture (AO/OTA type 31-A2.2, A2.3, A3.1 and Boyd & Griffin type 2 & 3) were enrolled in the study. Functional outcomes were assessed with use of Harris hip score. The main clinical measures were early postoperative full weight be�, postoperative complications and functional outcome. According to our results, we believe that cemented bipolar hemi arthroplasty is a treatment of choice in freely mobile elderly patients to allow earlier postoperative weight-be�.